Wielkiewicz W J, Caswell J
Miami Valley Hospital, Dayton, Ohio.
Postgrad Med. 1988 Jan;83(1):135-8. doi: 10.1080/00325481.1988.11700106.
Paradoxical embolism is rare, but it should be considered in cases of (1) postoperative arterial or cerebral embolism, (2) pulmonary embolism accompanied by systemic arterial or cerebral embolism, (3) systemic arterial or cerebral embolism in patients with a known right-to-left shunt or pulmonary arteriovenous malformation, and (4) systemic or cerebral embolism when no cardiac source can be found. Prognosis depends on both the extent of embolization and the clinical condition of the patient before and during treatment.
反常栓塞罕见，但在以下情况时应予以考虑：（1）术后动脉或脑栓塞；（2）伴有体循环动脉或脑栓塞的肺栓塞；（3）已知存在右向左分流或肺动静脉畸形的患者发生体循环动脉或脑栓塞；（4）未发现心脏来源的体循环或脑栓塞。预后取决于栓塞的范围以及患者治疗前和治疗期间的临床状况。
