急性缺血性中风和大左心室血栓与低分子量肝素的快速解决:一个案例报告
Mohammed H Elaghory1, Mohammad Bayer2, Bilal Nasir3
1Stroke/Cardiology, Hywel Dda University Health Board-Glangwili General Hospital, Carmarthen, GBR.
Cureus
|December 2, 2025
概括
一名62岁的男性患有缺血性中风和左心室 (LV) 血栓,通过低分子量肝素 (LMWH) 显示出完全的血栓解脱. 这一案例突出了LMWH的重要性.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
背景情况:
- 急性缺血性中风可能与左心室 (LV) 血栓有关.
- 移动LV血栓构成系统性栓塞的风险.
研究的目的:
- 报告一个成功保守管理大型LV血栓的案例.
- 为了突出低分子量肝素 (LMWH) 在LV血栓解决方案中的有效性.
主要方法:
- 用阿司匹林和治疗性LMWH进行保守的管理.
- 序列回声心脏图谱用于监测血栓分辨率.
- 对高凝血状态的调查.
主要成果:
- 在LMWH治疗后两周内,LV血栓完全消失.
- 患者随后经历了小脑梗塞和静脉血栓栓塞.
- 开始对狼抗体进行研究.
结论:
- LMWH可以实现快速的LV血栓分离,从而有可能避免手术.
- 早期调查缺血性中风的次要原因至关重要.
- 用LMWH进行保守的治疗是LV血栓的可行选择.
相关概念视频
Venous Thrombosis III: Interprofessional Care
265
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
265
Anticoagulant Drugs: Low-Molecular-Weight Heparins
1.6K
Hemostasis is a crucial process that prevents excessive blood loss from damaged blood vessels. It involves various mechanisms such as vasoconstriction, platelet adhesion and activation, and fibrin formation. The importance of each mechanism depends on the type of vessel injury. In contrast, thrombosis is the abnormal formation of a blood clot within the blood vessels, leading to potential complications if the clot obstructs blood flow. Thrombosis can be caused by increased coagulability of the...
1.6K
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
281
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
281


