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静脉血栓栓塞合并血小板减少症患者急性心肌梗死后室间隔破裂：一例报告

Ventricular septal rupture after acute myocardial infarction in a patient with venous thromboembolism complicated by thrombocytopenia: A case report.

作者信息

Zhu Yuansong, Luo Suxin, Zeng Chun, Huang Bi

机构信息

Department of Cardiology The First Affiliated Hospital of Chongqing Medical University Chongqing China.

Department of Radiology The First Affiliated Hospital of Chongqing Medical University Chongqing China.

出版信息

Clin Case Rep. 2023 Mar 8;11(3):e7059. doi: 10.1002/ccr3.7059. eCollection 2023 Mar.

DOI:10.1002/ccr3.7059
PMID:36911635
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9994429/
Abstract

A woman that suffered burns previously presented with leg swelling and was diagnosed with venous thromboembolism. Heparin was given until she suddenly developed myocardial infarction. Ventricular septal rupture was detected and managed by transcatheter closure. She developed massive bleeding and extensive thrombosis that made treatment paradoxical and eventually died.

摘要

一名曾遭受烧伤的女性出现腿部肿胀，被诊断为静脉血栓栓塞。给予肝素治疗，直到她突然发生心肌梗死。检测到室间隔破裂并通过经导管封堵进行处理。她出现了大量出血和广泛血栓形成，使治疗陷入困境，最终死亡。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69c3/9994429/1f1c8cbcfc57/CCR3-11-e7059-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69c3/9994429/6918303ed840/CCR3-11-e7059-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69c3/9994429/960a0183b327/CCR3-11-e7059-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69c3/9994429/b52bee606ecd/CCR3-11-e7059-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69c3/9994429/1f1c8cbcfc57/CCR3-11-e7059-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69c3/9994429/6918303ed840/CCR3-11-e7059-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69c3/9994429/960a0183b327/CCR3-11-e7059-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69c3/9994429/b52bee606ecd/CCR3-11-e7059-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69c3/9994429/1f1c8cbcfc57/CCR3-11-e7059-g005.jpg

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Ventricular septal rupture after acute myocardial infarction in a patient with venous thromboembolism complicated by thrombocytopenia: A case report.静脉血栓栓塞合并血小板减少症患者急性心肌梗死后室间隔破裂：一例报告
Clin Case Rep. 2023 Mar 8;11(3):e7059. doi: 10.1002/ccr3.7059. eCollection 2023 Mar.
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本文引用的文献

1
Heparin-induced thrombocytopenia (HIT): Review of incidence, diagnosis, and management.肝素诱导的血小板减少症（HIT）：发病率、诊断和管理的综述。
Vasc Med. 2020 Apr;25(2):160-173. doi: 10.1177/1358863X19898253. Epub 2020 Mar 20.
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American Society of Hematology 2018 guidelines for management of venous thromboembolism: heparin-induced thrombocytopenia.美国血液学会 2018 年静脉血栓栓塞症管理指南：肝素诱导的血小板减少症。
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Percutaneous closure of postinfarction ventricular septal defect: in-hospital outcomes and long-term follow-up of UK experience.经皮心肌梗死后室间隔缺损封堵术：英国的临床结果和长期随访经验。
Circulation. 2014 Jun 10;129(23):2395-402. doi: 10.1161/CIRCULATIONAHA.113.005839. Epub 2014 Mar 25.
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Heparin-induced skin lesions.肝素诱导的皮肤损伤。
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