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法洛四联症患儿的原发性肺动脉血栓形成

Primary thrombosis of pulmonary artery in a child with tetralogy of Fallot.

作者信息

Svane S

出版信息

Br Heart J. 1977 Jul;39(7):815-9. doi: 10.1136/hrt.39.7.815.

DOI:10.1136/hrt.39.7.815
PMID:884033
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC483322/
Abstract

A 34-month-old child with tetralogy of Fallot developed an acute, primary thrombosis of the pulmonary trunk. A greatly increased haematocrit was most probably a predisposing factor. An unusual postmortem finding was the large number of extremely dilated myocardial capillaries. In a review of a series of 394 consecutive necropsy cases with many kinds of cardiac anomalies, there was only one case (a 28-year-old man) with occluding thrombus formation in the pulmonary artery. This case also belonged to the Fallot group but a subacute glomerulonephritis seemed to be the major cause of death.

摘要

一名患有法洛四联症的34个月大儿童发生了肺动脉主干急性原发性血栓形成。血细胞比容大幅升高很可能是一个诱发因素。一个不寻常的尸检发现是大量极度扩张的心肌毛细血管。在对一系列连续394例患有多种心脏异常的尸检病例进行回顾时,仅有1例(一名28岁男性)在肺动脉中形成了阻塞性血栓。该病例也属于法洛四联症组,但亚急性肾小球肾炎似乎是主要死因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83d6/483322/89bce72b84b6/brheartj00233-0119-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83d6/483322/f143fd6651f4/brheartj00233-0118-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83d6/483322/82237ddc4afc/brheartj00233-0118-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83d6/483322/89bce72b84b6/brheartj00233-0119-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83d6/483322/f143fd6651f4/brheartj00233-0118-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83d6/483322/82237ddc4afc/brheartj00233-0118-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83d6/483322/89bce72b84b6/brheartj00233-0119-a.jpg

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Primary thrombosis of pulmonary artery in a child with tetralogy of Fallot.法洛四联症患儿的原发性肺动脉血栓形成
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本文引用的文献

1
A Heart showing an Infective Polypoid Thrombus in the Pulmonary Artery and extending into the Right Ventricle, mistaken for Patent Ductus Arteriosus.一颗心脏显示肺动脉内有感染性息肉状血栓并延伸至右心室,被误诊为动脉导管未闭。
Proc R Soc Med. 1911;4(Sect Study Dis Child):199-201. doi: 10.1177/003591571100401494.
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[ON DATA ON PULMONARY ARTERY THROMBOSIS. CONTRIBUTION TO THE DIFFERENTIAL DIAGNOSIS OF CONGENITAL HEART DEFECTS].[关于肺动脉血栓形成的数据。对先天性心脏病鉴别诊断的贡献]
Z Kreislaufforsch. 1965 Mar;54:254-60.
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PULMONARY VASCULAR CHANGES IN TETRALOGY OF FALLOT.
法洛四联症的肺血管变化
Dis Chest. 1964 Dec;46:664-70.
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PULMONARY ARTERY THROMBOSIS. A COMPLICATION OCCURRING WITH PREDNISONE AND CHLOROTHIAZIDE THERAPY IN TWO NEPHROTIC PATIENTS.
Pediatrics. 1964 Dec;34:861-8.
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PULMONARY VASCULAR CHANGES IN PULMONARY STENOSIS WITH AND WITHOUT VENTRICULAR SEPTAL DEFECT.伴有和不伴有室间隔缺损的肺动脉狭窄中的肺血管变化
Br Heart J. 1964 Sep;26(5):655-61. doi: 10.1136/hrt.26.5.655.
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Glomerular alterations in cyanotic congenital heart disease.紫绀型先天性心脏病中的肾小球改变。
Bull Johns Hopkins Hosp. 1960 Jun;106:347-67.
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The pulmonary vascular bed in tetralogy of Fallot. II. Changes following a systemic-pulmonary arterial anastomosis.
Bull Johns Hopkins Hosp. 1960 Feb;106:100-18.
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Pulmonary thrombosis in cyanotic congenital heart disease without pulmonary hypertension.无肺动脉高压的青紫型先天性心脏病中的肺血栓形成
J Pathol Bacteriol. 1958 Apr;75(2):281-91. doi: 10.1002/path.1700750206.
9
Thrombosis of the major pulmonary arteries.主要肺动脉血栓形成。
Br Med J. 1958 Sep 13;2(5097):659-62. doi: 10.1136/bmj.2.5097.659.
10
Massive thrombotic occlusion of the large pulmonary arteries.大肺动脉的大面积血栓性闭塞。
Circulation. 1956 Nov;14(5):766-83. doi: 10.1161/01.cir.14.5.766.