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不常见部位的动脉血栓形成:实用综述。

Arterial thrombosis in unusual sites: A practical review.

机构信息

Division of Hematology-Oncology, Oregon Health & Science University, Portland, Oregon.

Biomedical Engineering, Oregon Health & Science University, Portland, Oregon.

出版信息

Eur J Haematol. 2018 Dec;101(6):728-736. doi: 10.1111/ejh.13165. Epub 2018 Oct 15.

Abstract

While cardiovascular disease is common, occasionally hematologists and other practitioners will encounter patients with arterial thrombosis/infarction in unusual sites, without clear cause or obvious diagnostic and treatment paradigms. Contrary to the more commonly encountered cerebrovascular accident and cardiovascular disorders, the various infarctions outlined in this review have unique presentations, pathophysiology, workup, and treatments that all hematologists should be aware of. This review outlines the current literature on arterial thrombosis, with consideration given to anatomic sources and hypercoagulable associations, while focusing on the epidemiology, pathophysiology, provoking factors, and current recommended treatments for intracardiac thrombus, primary aortic mural thrombus, visceral infarctions, and cryptogenic limb ischemia to provide a useful and practical review for the practitioner.

摘要

虽然心血管疾病很常见,但偶尔血液学家和其他从业者会遇到在不常见部位发生动脉血栓形成/梗死的患者,且这些患者的病因并不明确,也没有明显的诊断和治疗模式。与更常见的脑血管意外和心血管疾病不同,本综述中概述的各种梗死具有独特的表现、病理生理学、检查和治疗方法,所有血液学家都应该了解。本综述概述了目前关于动脉血栓形成的文献,同时考虑了解剖来源和高凝关联,重点介绍了心腔内血栓、原发性主动脉壁血栓、内脏梗死和隐源性肢体缺血的流行病学、病理生理学、诱发因素以及目前推荐的治疗方法,为从业者提供了有用且实用的综述。

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