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三重急症：高渗高血糖状态、静脉血栓栓塞症以及巨大游离右心血栓，经抗凝治疗成功处理。

Triple emergencies: Hyperosmolar hyperglycemic state, venous thromboembolism, and huge free-floating right heart thrombus successfully managed with anticoagulation.

作者信息

Umar Hayatu, Zagga Usman Muawiyya, Akintomide Femi Akindotun, Aminu Abdulaziz, Maiyaki Abubakar S, Zulkifilu Umar, Umar Musa Tambuwal, Muhammad Kabiru Mande, Yusuf Adeshina Abdulateef, Bamaiyi Adamu Jibril

机构信息

Department of Internal Medicine Usmanu Danfodiyo University Teaching Hospital, Usmanu Danfodiyo University Sokoto Nigeria.

Department of Physiology, Faculty of Clinical sciences Usmanu Danfodiyo University Sokoto Nigeria.

出版信息

Clin Case Rep. 2021 Dec 26;9(12):e04710. doi: 10.1002/ccr3.4710. eCollection 2021 Dec.

DOI:10.1002/ccr3.4710
PMID:34963797
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8710849/
Abstract

A 57-year-old man, with type 2 diabetes mellitus, was admitted with a hyperosmolar hyperglycemic state, who developed in-hospital venous thromboembolism with huge free-floating right heart thrombus, and there is no available optimal treatment option for the huge free-floating right heart thrombus, except anticoagulation with warfarin and low molecular weight heparin with successful outcome.

摘要

一名57岁的2型糖尿病男性患者因高渗高血糖状态入院，住院期间发生静脉血栓栓塞，伴有巨大的游离右心血栓，对于这种巨大的游离右心血栓，除了使用华法林和低分子肝素进行抗凝治疗并取得成功外，没有其他可用的最佳治疗方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9cfe/8710849/806ccc265396/CCR3-9-e04710-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9cfe/8710849/177cc47a5797/CCR3-9-e04710-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9cfe/8710849/60ee61f4c00b/CCR3-9-e04710-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9cfe/8710849/806ccc265396/CCR3-9-e04710-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9cfe/8710849/177cc47a5797/CCR3-9-e04710-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9cfe/8710849/60ee61f4c00b/CCR3-9-e04710-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9cfe/8710849/806ccc265396/CCR3-9-e04710-g003.jpg

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本文引用的文献

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Right Ventricular Thrombus in Transit: Raising the Stakes in the Management of Pulmonary Embolism.移动性右心室血栓：提高肺栓塞治疗的风险
CASE (Phila). 2019 Jul 2;3(6):272-276. doi: 10.1016/j.case.2019.05.006. eCollection 2019 Dec.
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2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS).2019年欧洲心脏病学会（ESC）与欧洲呼吸学会（ERS）合作制定的急性肺栓塞诊断和管理指南。
Eur Heart J. 2020 Jan 21;41(4):543-603. doi: 10.1093/eurheartj/ehz405.
3
Fatal Pulmonary Thromboembolism in Patients with Diabetic Ketoacidosis: A Seven-Case Series and Review of the Literature.
糖尿病酮症酸中毒患者的致命性肺血栓栓塞：七例病例系列报道及文献综述
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Free-Floating Right Heart Thrombus with Acute Massive Pulmonary Embolism: A Case Report and Review of the Literature.游离性右心血栓伴急性大面积肺栓塞：一例报告并文献复习
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Free Floating Right Heart Thrombus Associated with Acute Pulmonary Embolism: An Unsettled Therapeutic Difficulty.与急性肺栓塞相关的游离右心血栓：一个尚未解决的治疗难题。
Case Rep Cardiol. 2015;2015:364780. doi: 10.1155/2015/364780. Epub 2015 May 11.
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Is diabetes a hypercoagulable state? A critical appraisal.糖尿病是一种高凝状态吗？批判性评估。
Acta Diabetol. 2015 Dec;52(6):1007-16. doi: 10.1007/s00592-015-0746-8. Epub 2015 Apr 9.
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J Thromb Haemost. 2010 Aug;8(8):1663-9. doi: 10.1111/j.1538-7836.2010.03910.x. Epub 2010 May 12.
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9
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