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人工瓣膜血栓形成的孕妇在溶栓治疗期间急性缺血性卒中的管理

Management of an acute ischemic stroke during thrombolytic treatment in a pregnant patient with prosthetic valve thrombosis.

作者信息

Kalçık Macit, Yesin Mahmut, Bayam Emrah, Gürsoy Mustafa Ozan, Güner Ahmet, Gündüz Sabahattin, Özkan Mehmet

机构信息

Department of Cardiology, Faculty of Medicine, Hitit University, Çorum, Turkey.

Department of Cardiology, Kars Harakani State Hospital, Kars, Turkey.

出版信息

Interv Med Appl Sci. 2017 Sep;9(3):150-153. doi: 10.1556/1646.9.2017.30.

DOI:10.1556/1646.9.2017.30
PMID:29201439
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5700703/
Abstract

Prosthetic valve thrombosis (PVT) is a life-threatening complication in pregnant women with mechanical prosthetic heart valves. Thrombolytic therapy (TT) has evolved as an effective treatment alternative to surgery, which is associated with very high maternal and fetal mortality and morbidity in these patients. Acute ischemic stroke may rarely occur during TT for PVT. Here, we present a pregnant patient who was complicated with cerebral thromboembolism during TT for PVT and successfully managed with continuation of TT.

摘要

人工瓣膜血栓形成（PVT）是患有机械人工心脏瓣膜的孕妇的一种危及生命的并发症。溶栓治疗（TT）已发展成为一种有效的手术替代治疗方法，而手术在这些患者中会导致非常高的母婴死亡率和发病率。急性缺血性卒中在PVT的TT治疗期间可能很少发生。在此，我们报告一名在PVT的TT治疗期间并发脑血栓栓塞的孕妇，并通过继续TT治疗成功处理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/667d/5700703/2bdbc8baa985/imas-09-03-30_f002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/667d/5700703/34a364aadf30/imas-09-03-30_f001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/667d/5700703/2bdbc8baa985/imas-09-03-30_f002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/667d/5700703/34a364aadf30/imas-09-03-30_f001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/667d/5700703/2bdbc8baa985/imas-09-03-30_f002.jpg

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