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华法林成功治疗自发性特发性肺静脉血栓形成:一例报告并文献复习

Spontaneous idiopathic pulmonary vein thrombosis successfully treated with Warfarin: A case report and review of the literature.

作者信息

Nnodum Benedicta Nneoma, Manjunath Madhura, Kumar Ameet, Makdisi Tony

机构信息

Berkshire Medical Center, Pittsfield, MA 01201, USA.

出版信息

Respir Med Case Rep. 2019 Feb 22;26:296-298. doi: 10.1016/j.rmcr.2019.02.020. eCollection 2019.

Abstract

Pulmonary veins (PVs) are the most proximal source of arterial thromboembolism. Pulmonary vein thrombosis (PVT) is an uncommon clinical condition that can be fatal. Its incidence or prevalence is unclear as existing cases are case reports. It is often seen as a complication of malignancy, lobectomy, atrial fibrillation and less commonly idiopathic. It can be diagnosed using different types of non-invasive imaging studies. We present a 68-year-old woman who was undergoing treatment for recurrent urinary tract infection (UTI) but was incidentally noted to be dyspneic and intermittently hypoxic. She was found to have idiopathic pulmonary vein thrombosis that was successfully managed with systemic anticoagulation.

摘要

肺静脉是动脉血栓栓塞的最近端来源。肺静脉血栓形成(PVT)是一种罕见的临床病症,可能致命。由于现有病例均为病例报告,其发病率或患病率尚不清楚。它常被视为恶性肿瘤、肺叶切除术、心房颤动的并发症,较少见的是特发性的。它可以通过不同类型的非侵入性影像学检查来诊断。我们报告一名68岁女性,她正在接受复发性尿路感染(UTI)治疗,但偶然发现有呼吸困难和间歇性低氧血症。她被发现患有特发性肺静脉血栓形成,通过全身抗凝治疗成功治愈。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7324/6395850/0c29974b6299/gr1.jpg

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