Homann C J, Seitz K, Engels T, Reither M, Rettenmaier G
Ultraschall Med. 1986 Apr;7(2):83-6. doi: 10.1055/s-2007-1011920.
Using echocardiography, we succeeded in identifying thromboembolic masses in the heart of 5 patients suffering from massive pulmonary or arterial embolism. In another case we found a thrombus in the right ventricular outflow tract. Premonitorial pulmonary embolism preceded in all cases. One thrombus in arterial embolism was found by tm-echocardiography, five thrombi by sector-echocardiography. The examinations were performed after acute worsening of the clinical condition. In four patients, death resulted from the embolism, whereas two survived, one old patient without thrombolytic or operative therapy.
通过超声心动图检查,我们成功在5例患有大面积肺栓塞或动脉栓塞的患者心脏中发现了血栓栓塞团块。在另一例病例中,我们在右心室流出道发现了一个血栓。所有病例均有先兆性肺栓塞。通过经食管超声心动图发现1例动脉栓塞中的血栓,通过扇形超声心动图发现5例血栓。这些检查是在临床病情急性恶化后进行的。4例患者死于栓塞,而2例存活,其中1例老年患者未接受溶栓或手术治疗。