Huang T Y, Chau K M
Department of Medicine, Chi Mei Foundation Hospital, Tainan, Taiwan, R.O.C.
Int J Cardiol. 1995 Jun 30;50(2):193-6. doi: 10.1016/0167-5273(95)02366-5.
We present a case of diabetic nephrotic syndrome complicated with cerebral embolism in whom two intracardiac thrombi were found in both right and left ventricles without obvious abnormality echocardiographically. Both thrombi regressed after anticoagulant therapy. This represents an intracardiac thrombotic complication of nephrotic syndrome, presumably with hypercoagulable state as the sole mechanism of intracardiac thrombus formation.
我们报告一例糖尿病肾病综合征合并脑栓塞患者,其经超声心动图检查发现左右心室均有两个心内血栓,且无明显异常。抗凝治疗后两个血栓均消退。这代表了肾病综合征的心内血栓形成并发症,推测高凝状态是心内血栓形成的唯一机制。