Goh P P, Chan C N, Ding Z P
Department of Cardiology, Singapore General Hospital, Singapore.
Ann Acad Med Singap. 1996 Jan;25(1):147-51.
An elderly man with a St Jude mitral prosthesis presented to our institution in cardiogenic shock. Acute thrombosis of the valve was diagnosed by fluoroscopy and transoesophageal echocardiography. Successful lysis of the thrombus was achieved with intravenous streptokinase therapy and the patient recovered without any adverse sequelae. Prosthetic valve thrombosis is a life-threatening condition that requires prompt detection and surgical intervention. Thrombolytic therapy is a promising alternative to surgery especially in critically ill patients.
一名植入圣犹达二尖瓣假体的老年男性因心源性休克入住我院。通过荧光透视检查和经食管超声心动图诊断为瓣膜急性血栓形成。静脉注射链激酶治疗成功溶解了血栓，患者康复且无任何不良后遗症。人工瓣膜血栓形成是一种危及生命的疾病，需要及时检测和手术干预。溶栓治疗是手术的一种有前景的替代方法，尤其是对于重症患者。
