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病例报告:当反常栓塞遇上易栓症时我们或许能做得更多:来自一个特殊病例的启示

Case Report: Perhaps we can do more when paradoxical embolism meets thrombophilia: inspiration from a special case.

作者信息

Xue Xiaomin, Dai Muhua, Pang Lisha, Li Jiayan, Ji Chunlian, Meng Jianbiao, Zhang Wei

机构信息

Institute of Basic Experiments, Zhejiang Academy of Traditional Chinese Medicine, Hangzhou, China.

Department of Critical Care Units, Tongde Hospital of Zhejiang Province, Hangzhou, China.

出版信息

Front Cardiovasc Med. 2025 Aug 12;12:1608644. doi: 10.3389/fcvm.2025.1608644. eCollection 2025.

DOI:10.3389/fcvm.2025.1608644
PMID:40873613
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12379029/
Abstract

This study reported a rare case of Paradoxical Embolism complicated with thrombophilia. New thrombosis still existed after active treatment, and the existence of thrombus-prone gene was confirmed by gene detection. This patient recovered after improving the treatment plan. It emphasizes the importance of genetic testing to improve the diagnosis and treatment plan. This study comprehensively recorded the whole diagnosis and treatment process, including multidisciplinary collaboration, imaging diagnosis and personalized treatment strategies, which provided valuable guidance for similar clinical cases.

摘要

本研究报告了一例罕见的矛盾栓塞合并血栓形成倾向的病例。积极治疗后仍有新的血栓形成,通过基因检测证实了血栓易形成基因的存在。该患者在改进治疗方案后康复。它强调了基因检测对改善诊断和治疗方案的重要性。本研究全面记录了整个诊断和治疗过程,包括多学科协作、影像诊断和个性化治疗策略,为类似临床病例提供了有价值的指导。

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Cureus. 2024 Dec 18;16(12):e75974. doi: 10.7759/cureus.75974. eCollection 2024 Dec.
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Epigenetic Biomarkers in Thrombophilia-Related Pregnancy Complications: Mechanisms, Diagnostic Potential, and Therapeutic Implications: A Narrative Review.血栓形成倾向相关妊娠并发症中的表观遗传生物标志物:机制、诊断潜力及治疗意义:一项叙述性综述
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A signaling pathway map of plasminogen activator inhibitor-1 (PAI-1/SERPINE-1): a review of an innovative frontier in molecular aging and cellular senescence.
纤溶酶原激活物抑制剂-1(PAI-1/SERPINE-1)信号通路图:分子衰老和细胞衰老领域的创新性研究进展综述。
Cell Commun Signal. 2024 Nov 14;22(1):544. doi: 10.1186/s12964-024-01910-5.
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Novel Deep Sea Isoindole Alkaloid FGFC1 Exhibits Its Fibrinolytic Effects by Inhibiting Thrombin-Activatable Fibrinolysis Inhibitor.新型深海异吲哚生物碱FGFC1通过抑制凝血酶激活的纤溶抑制因子发挥其纤溶作用。
Pharmaceuticals (Basel). 2024 Oct 20;17(10):1401. doi: 10.3390/ph17101401.
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Mechanisms behind elevated serum levels of plasminogen activator inhibitor-1 in frontotemporal lobar degeneration.额颞叶变性患者血清纤溶酶原激活物抑制剂-1水平升高背后的机制。
Neural Regen Res. 2025 Aug 1;20(8):2317-2318. doi: 10.4103/NRR.NRR-D-24-00335. Epub 2024 Sep 6.
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