左心房球状血栓合并多器官功能障碍诊治一例
摘要
<正>1临床资料患者女性,54岁,因"反复气急4月余,加重伴晕厥4 d"于急诊入院。患者4个月前出现活动后气急、乏力,伴颜面浮肿,无发热、咳嗽、咳痰,无头晕、双下肢水肿等不适,于当地医院就诊,诊断为风湿性心脏瓣膜病、二尖瓣重度狭窄。当地医院建议入院治疗,患者未重视及治疗。4 d前,患者出现胸闷、气急,伴晕厥、腹胀,于当地医院就诊予以利尿等纠正心力衰竭的治疗,病
引文
[1]唐兴尧,胡秉忠,吴栋.左心房游离球状血栓一例[J].中国循环杂志,1988:3(3):179.
[2]谷天祥,张显清,谷春久,等.心脏漂浮血栓的诊断与治疗[J].中国医科大学学报,1992:21(Supp):125.
[3]矢部喜正,小山信彌,大沢秀文,等.左房内巨大球状血栓を有す僧帽弁狭窄症2症例の検討[J].心臓,1982,14(8):1031-1040.DOI:10.11281/shinzo1969.14.8_1031.
[4] Beiras-Fernandez A, Moehnle P, Kaczmarek I, et al. Giant left atrial thrombus with mechanical compromise of the mitral valve[J].J Thorac Cardiov Sur, 2008, 136(5):1374-1376. DOI:10.1016/j.jtcvs.2007.12.072.
[5] Caldentey G,San Antonio R, Flores-Umanzor E,et al.Thrombocytopenia induced by giant atrial thrombus in rheumatic valve disease[J]. Neth Heart J, 2017, 25(7-8):463-464. DOI:10.1007/s 12471-017-0984-1.
[6] January CT, Wann LS, Alpert JS, et al. 2014 AHA/ACC/HRS guideline for the management of patients with atrial fibrillation:executive summary a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the Heart Rhythm Society[J]. Circulation, 2014, 130(23):2071-2104.DOI:10.1161/cir.0000000000000040.
[7] Bansal M, Kasliwal RR. Mobile large left atrial thrombus[J]. N Engl J Med, 2015, 372(1):E2. DOI:10.1056/NEJMicm1310149.
[2]谷天祥,张显清,谷春久,等.心脏漂浮血栓的诊断与治疗[J].中国医科大学学报,1992:21(Supp):125.
[3]矢部喜正,小山信彌,大沢秀文,等.左房内巨大球状血栓を有す僧帽弁狭窄症2症例の検討[J].心臓,1982,14(8):1031-1040.DOI:10.11281/shinzo1969.14.8_1031.
[4] Beiras-Fernandez A, Moehnle P, Kaczmarek I, et al. Giant left atrial thrombus with mechanical compromise of the mitral valve[J].J Thorac Cardiov Sur, 2008, 136(5):1374-1376. DOI:10.1016/j.jtcvs.2007.12.072.
[5] Caldentey G,San Antonio R, Flores-Umanzor E,et al.Thrombocytopenia induced by giant atrial thrombus in rheumatic valve disease[J]. Neth Heart J, 2017, 25(7-8):463-464. DOI:10.1007/s 12471-017-0984-1.
[6] January CT, Wann LS, Alpert JS, et al. 2014 AHA/ACC/HRS guideline for the management of patients with atrial fibrillation:executive summary a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the Heart Rhythm Society[J]. Circulation, 2014, 130(23):2071-2104.DOI:10.1161/cir.0000000000000040.
[7] Bansal M, Kasliwal RR. Mobile large left atrial thrombus[J]. N Engl J Med, 2015, 372(1):E2. DOI:10.1056/NEJMicm1310149.