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盆腔创伤后脾梗死合并脓肿作为卵圆孔未闭的首发表现——一例报告

Splenic infarction complicated with abscess after pelvic trauma as the first presentation of patent foramen ovale - A case report.

作者信息

Demma J, Weiss D, Kedar A, Shussman N, Zamir G, Pikarsky A, Bala M

机构信息

General Surgery and Traumatology Department, Hadassah Hebrew University Medical Center, Jerusalem, Israel.

出版信息

Trauma Case Rep. 2021 Apr 21;33:100479. doi: 10.1016/j.tcr.2021.100479. eCollection 2021 Jun.

DOI:10.1016/j.tcr.2021.100479
PMID:34027002
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8121688/
Abstract

Hypercoagulability after trauma is a known entity. Following significant trauma, most guidelines advise anticoagulation treatment for venous thromboembolism (VTE) prophylaxis. VTE following minor trauma convoyed with arterial or systemic embolization dictate the need to search for uncommon source of thromboembolic complications. This is a report of an unusual case of pulmonary and systemic emboli complicated by splenic abscess following minor trauma in a patient with Diabetes Mellitus as the first presentation of patent foramen ovale (PFO).

摘要

创伤后的高凝状态是一个已知的情况。在遭受重大创伤后,大多数指南建议进行抗凝治疗以预防静脉血栓栓塞(VTE)。轻微创伤后伴有动脉或全身栓塞的VTE表明需要寻找血栓栓塞并发症的罕见来源。本文报告了一例罕见病例,一名患有糖尿病的患者在轻微创伤后出现肺栓塞和全身栓塞,并伴有脾脓肿,这是卵圆孔未闭(PFO)的首次表现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d38/8121688/efa9ae6b6500/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d38/8121688/46b218c8ab11/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d38/8121688/efa9ae6b6500/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d38/8121688/46b218c8ab11/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d38/8121688/efa9ae6b6500/gr2.jpg

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本文引用的文献

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Patent Foramen Ovale Closure or Antiplatelet Therapy for Cryptogenic Stroke.卵圆孔未闭封堵或抗血小板治疗不明原因卒中。
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Splenic abscess.脾脓肿
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