| 姜霞,胡晓军,胡卫玉,郭瑞强.经食管超声追踪评价左房血栓及抗凝溶栓疗效[J].中国医学影像技术,2001,17(8):734~735 |
| 经食管超声追踪评价左房血栓及抗凝溶栓疗效 |
| Role of Transesophageal Echocardiography in Diagnosis of Left Atrial Thrombus and Assessment of Antithrombotic-thrombolytic Efficacy |
| 投稿时间：2001-02-23 |
| DOI： |
| 中文关键词: 经食管超声心动图 左房 血栓 |
| 英文关键词:Transesophageal echocardiography Left atrial Thrombus |
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| 中文摘要: |
| 目的 评价经食管超声心动图(TEE)诊断左房血栓,追踪抗凝溶栓治疗效果。方法 采用经胸或经食管超声诊断了33例适宜于经皮二尖瓣球囊扩张术(PBMV),又合并有左房血栓的风湿性心脏病二尖瓣狭窄患者,并用TEE随访观察抗凝溶栓治疗经过,指导决定PBMV时间。结果 33例血栓患者,左房耳血栓28例,左房血栓5例。最大血栓6.0cm×4.0cm,最小血栓0.8cm×0.6cm。所有患者均用华法令进行抗凝溶栓治疗,定期复查PI及INR调整用药。治疗两周后开始反复用TEE检 |
| 英文摘要: |
| Objective To diagnose left atrial thrombi and evaluate the antithrombotic-thrombolytic efficacy of low-dose warfarin in patients with rheumatic mitral stenosis using transesophageal echocardiography(TEE). Methods There were 33 patients who are candidates for percutaneous balloon nitral valvuloplasty(PBMV) but with the presence of left atrial thrombi. TEE, PT (prothrombin time), PTA (prothrombin time activity) were performed periodically during the treatment of low-dose warfarin with all patients. Results All thrombi in the left atrial appendage were decreased more or less, and some were almost dinimished after two weeks from the beginning of treatment of low-dose warfarin. Successful PBMV was performed in everyone of patients after resolution of thrombi. Conclusion TEE not only can diagnose left atrial thrombi but assess the antithrombotic-thrombolytic efficacy of warfrain in patients with rheumatic mitral stenosis. |
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