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体外膜肺氧合（ECMO）期间成功治疗大型左心室血栓：一例报告并文献复习

Successful Treatment of Large Left Ventricular Thrombosis During Extracorporeal Membrane Oxygenation (ECMO): A Case Report and Review of the Literature.

作者信息

Yang Xue-Ting, Chen Yi-Jin, Zeng Han, Deng Lei, Chang Li, Li Yi, Song Meng-Long, Zhang Yang, Peng Wei, Wang Dong, Jiang Hua, Peng Hong-Qiong

机构信息

Emergency Intensive Care Unit Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China Chengdu Sichuan China.

Institute for Emergency and Disaster Medicine, Sichuan Academy of Medical Science Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China Chengdu Sichuan China.

出版信息

Clin Case Rep. 2025 Jan 21;13(1):e70123. doi: 10.1002/ccr3.70123. eCollection 2025 Jan.

DOI:10.1002/ccr3.70123
PMID:39839947
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11748204/
Abstract

We report a rare complication of left ventricular giant thrombus in a patient with fulminant myocarditis after venoarterial extracorporeal membrane oxygenation therapy. This case report offers simple anticoagulant treatment experiences to eliminate significant LV thrombosis in patient undergoing extracorporeal membrane oxygenation, so that patients do not need surgery.

摘要

我们报告了1例暴发性心肌炎患者在接受静脉-动脉体外膜肺氧合治疗后出现左心室巨大血栓这一罕见并发症。本病例报告提供了简单的抗凝治疗经验，以消除接受体外膜肺氧合治疗患者的严重左心室血栓形成，从而使患者无需接受手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d88a/11748204/891b7ece00a1/CCR3-13-e70123-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d88a/11748204/35b5ccd38895/CCR3-13-e70123-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d88a/11748204/6bf0c4d2ad31/CCR3-13-e70123-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d88a/11748204/891b7ece00a1/CCR3-13-e70123-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d88a/11748204/35b5ccd38895/CCR3-13-e70123-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d88a/11748204/6bf0c4d2ad31/CCR3-13-e70123-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d88a/11748204/891b7ece00a1/CCR3-13-e70123-g002.jpg

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本文引用的文献

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Tenecteplase versus alteplase in acute ischaemic cerebrovascular events (TRACE-2): a phase 3, multicentre, open-label, randomised controlled, non-inferiority trial.替奈普酶与阿替普酶治疗急性缺血性脑血管事件的疗效对比（TRACE-2）：一项3期、多中心、开放标签、随机对照、非劣效性试验
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Left Ventricular Thrombus Management After Acute Myocardial Infarction in Clinical Practice: Results from LEVITATION Survey and Narrative Review.临床实践中急性心肌梗死后左心室血栓的管理：LEVITATION 调查结果及叙述性综述
Cardiovasc Drugs Ther. 2024 Jun;38(3):483-492. doi: 10.1007/s10557-022-07417-w. Epub 2022 Dec 20.
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Venovenous ECMO treatment, outcomes, and complications in adults according to large case series: A systematic review.
根据大型病例系列，成人静脉-静脉体外膜肺氧合治疗、结局和并发症：系统评价。
Int J Artif Organs. 2021 Jul;44(7):481-488. doi: 10.1177/0391398820975408. Epub 2020 Dec 1.
4
Aortic Root Thrombosis on ECMO-A Novel Management Strategy.体外膜肺氧合（ECMO）辅助下主动脉根部血栓——一种新的治疗策略
World J Pediatr Congenit Heart Surg. 2020 Sep;11(5):643-645. doi: 10.1177/2150135120924416.
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Fatal influenza myocarditis with incessant ventricular tachycardia.致命性流感心肌炎伴持续性室性心动过速。
BMJ Case Rep. 2019 Jul 1;12(7):e228201. doi: 10.1136/bcr-2018-228201.
6
Extracorporeal membrane oxygenation: indications, technique and contemporary outcomes.体外膜肺氧合：适应证、技术及当代治疗效果
Heart. 2019 Sep;105(18):1437-1443. doi: 10.1136/heartjnl-2017-311928. Epub 2019 Apr 30.
7
Acute and Fulminant Myocarditis: a Pragmatic Clinical Approach to Diagnosis and Treatment.急性和暴发性心肌炎：诊断与治疗的实用临床方法。
Curr Cardiol Rep. 2018 Sep 26;20(11):114. doi: 10.1007/s11886-018-1054-z.
8
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J Extra Corpor Technol. 2018 Mar;50(1):58-60.
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Catastrophic Left Ventricular Thrombosis Complicating Extra-corporeal Membrane Oxygenation: A Case Report.
Prague Med Rep. 2017;118(4):139-146. doi: 10.14712/23362936.2017.15.
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