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使用 Björk-Shiley 二尖瓣假体导致的近乎致命的产褥期血栓形成。

Near fatal puerperal thrombosis on Björk-Shiley mitral valve prosthesis.

作者信息

McLeod A A, Jennings K P, Townsend E R

出版信息

Br Heart J. 1978 Aug;40(8):934-7. doi: 10.1136/hrt.40.8.934.

DOI:10.1136/hrt.40.8.934
PMID:687495
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC483511/
Abstract

A 22-year-old woman required emergency mitral valve replacement three weeks post partum because of thrombotic obstruction of her prosthetic mitral valve. Low dose subcutaneous heparin was administered from the 17th week of pregnancy. Though there was a successful fetal outcome, heparin did not prevent thrombosis on the prosthesis and its continuation into the puerperium proved nearly fatal.

摘要

一名22岁女性在产后三周因人工二尖瓣血栓形成梗阻而需要进行紧急二尖瓣置换术。自怀孕第17周起给予低剂量皮下肝素治疗。尽管胎儿结局良好，但肝素未能预防人工瓣膜上的血栓形成，且持续至产褥期几乎导致致命后果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d578/483511/6ca662bbb611/brheartj00222-0112-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d578/483511/df68fece31bf/brheartj00222-0111-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d578/483511/c6ca5056ff77/brheartj00222-0111-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d578/483511/6ca662bbb611/brheartj00222-0112-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d578/483511/df68fece31bf/brheartj00222-0111-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d578/483511/c6ca5056ff77/brheartj00222-0111-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d578/483511/6ca662bbb611/brheartj00222-0112-a.jpg

相似文献

1
Near fatal puerperal thrombosis on Björk-Shiley mitral valve prosthesis.使用 Björk-Shiley 二尖瓣假体导致的近乎致命的产褥期血栓形成。
Br Heart J. 1978 Aug;40(8):934-7. doi: 10.1136/hrt.40.8.934.
2
Near fatal puerperal thrombosis on Björk-Shiley mitral valve prosthesis.使用 Björk-Shiley 二尖瓣假体导致的近乎致命的产褥期血栓形成。
Br Heart J. 1979 May;41(5):630. doi: 10.1136/hrt.41.5.630.
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引用本文的文献

1
Pregnancy in patients with prosthetic heart valves.人工心脏瓣膜置换术后患者的妊娠情况。
Br Med J (Clin Res Ed). 1983 May 28;286(6379):1680-2. doi: 10.1136/bmj.286.6379.1680.
2
Near fatal puerperal thrombosis on Björk-Shiley mitral valve prosthesis.使用 Björk-Shiley 二尖瓣假体导致的近乎致命的产褥期血栓形成。
Br Heart J. 1979 May;41(5):630. doi: 10.1136/hrt.41.5.630.

本文引用的文献

1
A hydrodynamic evaluation of the new tilting disc valve (Björk-Shiley) for mitral valve replacement.用于二尖瓣置换的新型倾斜盘式瓣膜（比约克-希利瓣膜）的流体动力学评估。
Scand J Thorac Cardiovasc Surg. 1970;4(1):37-43. doi: 10.3109/14017437009134238.
2
Clinical experience with anticoagulant therapy during pregnancy.孕期抗凝治疗的临床经验。
Br Med J. 1970 Jan 31;1(5691):270-3. doi: 10.1136/bmj.1.5691.270.
3
Echocardiographic evaluation of the Bjork-Shiley prosthetic valve.比约克-希利人工瓣膜的超声心动图评估
Circulation. 1974 Jul;50(1):52-7. doi: 10.1161/01.cir.50.1.52.
4
Pregnancy in a patient with a mitral-valve prosthesis.
Lancet. 1968 Mar 23;1(7543):616-9. doi: 10.1016/s0140-6736(68)91237-3.
5
Congenital malformations associated with the administration of oral anticoagulants during pregnancy.孕期使用口服抗凝剂相关的先天性畸形。
J Pediatr. 1975 Mar;86(3):459-62. doi: 10.1016/s0022-3476(75)80986-3.
6
Malfunction of Björk-Shiley valve prosthesis in tricuspid position.三尖瓣位Björk-Shiley瓣膜假体功能障碍。
Br Heart J. 1976 Nov;38(11):1149-53. doi: 10.1136/hrt.38.11.1149.
7
Pregnancy in patients after valve replacement.瓣膜置换术后患者的妊娠情况。
Br Heart J. 1976 Nov;38(11):1140-8. doi: 10.1136/hrt.38.11.1140.