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多条探索之路：超声心动图医师对动态血栓的见解——一个超声心动图病例系列

Many Roads Traveled: Sonographer Insights on Clots in Transit-An Echocardiography Case Series.

作者信息

Benser Abigail, Carlson Casey, Casper Elizabeth, Ignatowski Denise, Jain Renuka, Wessly Priscilla

机构信息

Aurora Cardiovascular and Thoracic Services, Aurora Sinai/Aurora St. Luke's Medical Centers, Milwaukee, Wisconsin.

出版信息

CASE (Phila). 2025 Mar 9;9(5):164-172. doi: 10.1016/j.case.2025.01.004. eCollection 2025 May.

DOI:10.1016/j.case.2025.01.004
PMID:40657414
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12248603/
Abstract

• CITs are dynamic thrombi in the heart with significant embolic risks. • Echocardiography is essential for detecting CITs and right ventricular dysfunction. • Skilled sonographers optimize imaging using advanced techniques. • Sonographers’ real-time interpretation and communication guide treatment.

摘要

• 心脏内的心脏内血栓（CITs）是具有重大栓塞风险的动态血栓。

• 超声心动图对于检测CITs和右心室功能障碍至关重要。

• 技术娴熟的超声检查人员使用先进技术优化成像。

• 超声检查人员的实时解读和沟通指导治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/def9/12248603/1144e6213ca1/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/def9/12248603/15ba82f546e4/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/def9/12248603/2bc3349a5f36/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/def9/12248603/99da4878dab5/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/def9/12248603/d15d2d2cb9f1/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/def9/12248603/3799a90ba398/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/def9/12248603/9dc6c0f195a4/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/def9/12248603/1144e6213ca1/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/def9/12248603/15ba82f546e4/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/def9/12248603/2bc3349a5f36/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/def9/12248603/99da4878dab5/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/def9/12248603/d15d2d2cb9f1/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/def9/12248603/3799a90ba398/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/def9/12248603/9dc6c0f195a4/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/def9/12248603/1144e6213ca1/gr6.jpg

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本文引用的文献

1
Spontaneous Coronary Sinus Thrombosis in a Patient With Pulmonary Embolism and No Prior Cardiac Instrumentation.一名患有肺栓塞且既往无心脏器械植入史的患者发生自发性冠状静脉窦血栓形成。
CASE (Phila). 2023 Jul 4;7(9):383-388. doi: 10.1016/j.case.2023.05.005. eCollection 2023 Sep.
2
Clot-in-transit: A ticking time bomb in the heart with serious consequences.心脏内“移动血栓”：一颗正在计时的心脏定时炸弹，后果严重。
SAGE Open Med Case Rep. 2023 Feb 7;11:2050313X231151504. doi: 10.1177/2050313X231151504. eCollection 2023.
3
Role of echocardiography in acute pulmonary embolism.
超声心动图在急性肺栓塞中的作用。
Korean J Intern Med. 2023 Jul;38(4):456-470. doi: 10.3904/kjim.2022.273. Epub 2023 Jan 2.
4
Right heart thrombi (RHT) and clot in transit with concomitant PE management: Approach and considerations.右心血栓（RHT）及合并肺栓塞时的移行性血栓处理：方法与注意事项
Pulm Circ. 2022 Apr 25;12(2):e12080. doi: 10.1002/pul2.12080. eCollection 2022 Apr.
5
Special Considerations in Pulmonary Embolism: Clot-in-Transit and Incidental Pulmonary Embolism.肺栓塞的特殊考虑：游走性血栓和偶发性肺栓塞。
Crit Care Clin. 2020 Jul;36(3):531-546. doi: 10.1016/j.ccc.2020.02.008. Epub 2020 May 7.
6
Guidelines for the Use of Echocardiography in the Evaluation of a Cardiac Source of Embolism.超声心动图在评估心源性栓塞源中的应用指南。
J Am Soc Echocardiogr. 2016 Jan;29(1):1-42. doi: 10.1016/j.echo.2015.09.011.
7
Right heart thrombi: consider the cause.右心血栓：考虑其成因。
Can J Cardiol. 2008 Dec;24(12):888. doi: 10.1016/s0828-282x(08)70713-x.
8
Thrombus-in-transit: two cases and a review of diagnosis and management.移动性血栓：两例病例及诊断与管理综述
J Am Soc Echocardiogr. 2007 Oct;20(10):1219.e6-8. doi: 10.1016/j.echo.2007.01.041. Epub 2007 Jun 20.