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甲状腺毒症合并心房颤动时的动脉栓塞

Arterial embolism in thyrotoxicosis with atrial fibrillation.

作者信息

Staffurth J S, Gibberd M C, Fui S N

出版信息

Br Med J. 1977 Sep 10;2(6088):688-90. doi: 10.1136/bmj.2.6088.688.

Abstract

In 262 patients with thyrotoxicosis and atrial fibrillation there were 26 episodes of arterial embolism (17 cerebral and nine elsewhere) in 21 patients. Twelve incidents occurred with active thyrotoxicosis, three on reversion to sinus rhythm, and 11 after the patients were euthyroid. This important complication is more common than is realised, and most patients should be put on prophylactic anticoagulants when first seen with atrial fibrillation.

摘要

在262例甲状腺毒症合并心房颤动的患者中,21例患者发生了26次动脉栓塞事件(17次脑部栓塞,9次其他部位栓塞)。12次事件发生在甲状腺毒症活动期,3次发生在恢复窦性心律时,11次发生在患者甲状腺功能正常后。这种重要的并发症比人们意识到的更为常见,大多数患者首次出现心房颤动时就应接受预防性抗凝治疗。

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引用本文的文献

本文引用的文献

1
Vital Statistics.人口动态统计。
Br Med J. 1959 Jan 24;1(5116):244-5.
2
Auricular fibrillation in thyrotoxicosis, with special regard to the indication for quinidine therapy.
Acta Med Scand Suppl. 1952;266:585-93. doi: 10.1111/j.0954-6820.1952.tb13408.x.
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The treatment of thyrocardiac disease with radioactive iodine.放射性碘治疗甲状腺心脏病
Prog Cardiovasc Dis. 1962 Jul;5:64-80. doi: 10.1016/s0033-0620(62)80005-x.
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An appreciation of mitral stenosis. I. Clinical features.二尖瓣狭窄的认识。I. 临床特征。
Br Med J. 1954 May 8;1(4870):1051-63; contd. doi: 10.1136/bmj.1.4870.1051.
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Prognosis of cerebral embolism.脑栓塞的预后。
Lancet. 1965 Sep 11;2(7411):514-9. doi: 10.1016/s0140-6736(65)91473-x.

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