Matsuyama K, Misumi I, Horio Y, Yasue H
Division of Cardiology, Kumamoto University School of Medicine, Japan.
Angiology. 1988 Jan;39(1 Pt 1):49-52. doi: 10.1177/000331978803900108.
The authors report a fifty-year-old woman with acute inferior myocardial infarction in whom left atrial mobile thrombus was found by echocardiography. They believe this to be the first echocardiographic documentation of such a thrombus after acute myocardial infarction. The combination of the stagnant flow in the left atrium due to atrial ischemia, the low output state due to left ventricular dysfunction, and the hemoconcentric tendency from use of diuretics might have played a role in the present thrombus formation. The thrombus was safely lysed without complication after intravenous urokinase.
作者报告了一名50岁患有急性下壁心肌梗死的女性，经超声心动图检查发现其左心房有活动血栓。他们认为这是急性心肌梗死后此类血栓的首例超声心动图记录。心房缺血导致左心房血流停滞、左心室功能障碍导致低心输出量状态以及使用利尿剂引起的血液浓缩倾向，这些因素综合起来可能在当前血栓形成过程中起到了作用。静脉注射尿激酶后，血栓被安全溶解，未出现并发症。
