Kumar V, Gupta B K, Narayanan P S
Int J Cardiol. 1987 Mar;14(3):358-62. doi: 10.1016/0167-5273(87)90207-5.
Recent thrombus on a Bjork-Shiley valve in mitral position was suspected clinically because of absence of valve clicks. On echocardiography partial obstruction of occluder was diagnosed. Streptokinase therapy was given for 4 days. Post-therapy echocardiogram, phono-cardiogram and cinefluoroscopy showed full disc excursion and patient is fine for last 6 months.
临床上怀疑二尖瓣位置的 Bjork-Shiley 瓣膜出现近期血栓形成,因为未闻及瓣膜喀喇音。经超声心动图检查诊断为封堵器部分梗阻。给予链激酶治疗 4 天。治疗后的超声心动图、心音图和荧光电影检查显示瓣盘活动完全正常,患者在过去 6 个月情况良好。