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一名接受最佳肝素治疗的机械心脏瓣膜置换术后孕妇发生栓塞性中风。

Embolic stroke in a pregnant patient with a mechanical heart valve on optimal heparin therapy.

作者信息

Watson W J, Freeman J, O'Brien C, Benson M

机构信息

Department of Perinatal Medicine, Sioux Valley Hospital, South Dakota, USA.

出版信息

Am J Perinatol. 1996 Aug;13(6):371-2. doi: 10.1055/s-2007-994358.

DOI:10.1055/s-2007-994358
PMID:8865984
Abstract

A 28-year-old woman with a mechanical aortic heart valve experienced an embolic stroke in early pregnancy after her anticoagulation therapy was changed from warfarin to heparin. This occurred despite use of a subcutaneous heparin infusion pump and optimal anticoagulation. Thromboembolism can occur in pregnant patients with mechanical heart valves despite optimal heparin therapy.

摘要

一名28岁患有机械主动脉心脏瓣膜的女性,在抗凝治疗从华法林改为肝素后,于妊娠早期发生了栓塞性中风。尽管使用了皮下肝素输注泵并进行了最佳抗凝治疗,但仍发生了这种情况。尽管进行了最佳的肝素治疗,患有机械心脏瓣膜的孕妇仍可能发生血栓栓塞。

相似文献

1
Embolic stroke in a pregnant patient with a mechanical heart valve on optimal heparin therapy.一名接受最佳肝素治疗的机械心脏瓣膜置换术后孕妇发生栓塞性中风。
Am J Perinatol. 1996 Aug;13(6):371-2. doi: 10.1055/s-2007-994358.
2
Use of low molecular weight heparin in pregnant women with mechanical heart valves.低分子量肝素在患有机械心脏瓣膜的孕妇中的应用。
Am J Cardiol. 2009 Nov 1;104(9):1259-63. doi: 10.1016/j.amjcard.2009.06.040. Epub 2009 Sep 16.
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[Prosthetic mechanic valve thrombosis in pregnant women: a report of two cases].[孕妇人工机械瓣膜血栓形成:两例报告]
Turk Kardiyol Dern Ars. 2009 Jan;37(1):57-60.
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Anticoagulation during pregnancy.孕期抗凝治疗。
Curr Womens Health Rep. 2002 Apr;2(2):95-104.
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[A case of aortic valve replacement complicated by cerebral thromboembolism during pregnancy].1例妊娠期间主动脉瓣置换术后并发脑血栓栓塞
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Management of pregnant women with mechanical heart valve prosthesis: thromboprophylaxis with low molecular weight heparin.机械心脏瓣膜假体孕妇的管理:低分子量肝素预防血栓形成
Thromb Res. 2009 Jul;124(3):262-7. doi: 10.1016/j.thromres.2008.12.005. Epub 2009 Jan 21.
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[Anticoagulation of pregnant women with mechanical heart valve prostheses].[机械心脏瓣膜置换术后孕妇的抗凝治疗]
Z Kardiol. 2001;90 Suppl 6:125-30.
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[Anticoagulants during pregnancy following artificial heart valve implantation].[人工心脏瓣膜植入术后孕期的抗凝治疗]
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Pregnancy outcomes in women with mechanical heart valves.患有机械心脏瓣膜的女性的妊娠结局。
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Anticoagulation of pregnant women with mechanical heart valves using low-molecular-weight heparin.使用低分子量肝素对患有机械心脏瓣膜的孕妇进行抗凝治疗。
Arch Intern Med. 2003;163(22):2788-9. doi: 10.1001/archinte.163.22.2788-b.

引用本文的文献

1
"Bridging" therapy with low molecular weight heparin in pregnant patients and patients with mechanical prosthetic heart valves.在孕妇和机械人工心脏瓣膜患者中使用低分子量肝素进行“桥接”治疗。
J Thromb Thrombolysis. 2003 Aug-Oct;16(1-2):79-82. doi: 10.1023/B:THRO.0000014599.17795.39.
2
Cerebrovascular Disease in Pregnancy.妊娠期脑血管疾病
Curr Treat Options Neurol. 2003 Sep;5(5):391-407. doi: 10.1007/s11940-003-0030-z.