反常栓塞：2例报告
Paradoxical embolism: A report of 2 cases.
作者信息
Geng Jie, Tian Hong-Yan, Zhang Yan-Min, He Sai, Ma Qiang, Zhang Jun-Bo, Liu Ya, Tian Hua, Zhang Dan, Meng Yan
机构信息
Department of Peripheral Vascular Disease, the First Affiliated Hospital of Xi'an Jiaotong University Section of Pediatric Cardiology, Heart Center, Northwest Women's and Children's Hospital Department of Breast Cancer, Shaanxi Provincial Tumor Hospital, Xi'an, Shaanxi, PR China.
出版信息
Medicine (Baltimore). 2017 Jun;96(26):e7332. doi: 10.1097/MD.0000000000007332.
RATIONALE
Paradoxical embolism (PDE) refers to direct passage of venous thrombi into the arterial circulation through an arteriovenous shunt.
PATIENT CONCERNS
Case 1 presented with initial symptoms of shock and cerebral infarction. Case 2 developed middle cerebral artery occlusion during angiography.
DIAGNOSES
2 cases were diagnosed as PDE.
INTERVENTIONS
They received thrombolytic therapy and anticoagulant therapy.
OUTCOMES
The patients had recovery.
LESSONS
This report highlights the myriad clinical manifestations of PDE and underlines the importance of meticulous history taking and physical examination for early diagnosis.
原理
反常栓塞（PDE）是指静脉血栓通过动静脉分流直接进入动脉循环。
患者情况
病例1最初表现为休克和脑梗死症状。病例2在血管造影期间发生大脑中动脉闭塞。
诊断
2例被诊断为反常栓塞。
干预措施
他们接受了溶栓治疗和抗凝治疗。
结果
患者康复。
经验教训
本报告强调了反常栓塞的多种临床表现，并强调了详细询问病史和体格检查对早期诊断的重要性。
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