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案例报告:在运输中的栓塞与PFO血栓在现场
Bijing Li1, Haoyuan Wang2, Huan Cen1
1Department of Ultrasonography, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
Frontiers in cardiovascular medicine
|January 28, 2026
概括
穿越卵孔 (PFO) 血栓是一种罕见但至关重要的紧急情况. 使用成像指南在in situ和中转血栓之间区分个性化治疗,以获得更好的患者结果.
科学领域:
- 心脏病学 心脏病学
- 放射学 放射学是一门学科.
- 遗传学 是一个遗传学.
背景情况:
- 穿越卵 (PFO) 血栓,也称为穿越血栓,是一种罕见但至关重要的临床紧急情况.
- 这些血栓可以归类为初级心内血栓 (in situ) 血栓或从静脉系统中过境的栓塞.
- 准确的诊断和管理对于预防灾难性的栓塞事件至关重要.
研究的目的:
- 报告两个对比的PFO血栓病例.
- 为了说明多模式成像和连续透食管心声谱 (TEE) 在诊断和管理中的作用.
- 要突出如何区分血栓起源指导个性化治疗策略.
主要方法:
- 多模式成像包括TEE和CT肺血管造影 (CTPA).
- 序列TEE用于对血栓回归的后续评估.
- 在一个案例中,对血栓友的基因检测.
主要成果:
- 案例1:一个年轻人患有大型,移动的PFO血栓,肺栓塞,以及潜在的抗血栓素缺乏,经过手术和PFO关闭治疗.
- 案例2:一位患有小,固定的PFO血栓的老年妇女用利瓦洛克萨班进行了保守的治疗,在连续TEE上呈现出逐渐的血栓回归.
- 图像特征和临床背景有助于区分现场和中转血栓.
结论:
- 仔细确定血栓的起源和性质对于指导个性化管理至关重要.
- 多模式成像和串行TEE是管理PFO瘤的有价值的工具.
- 适当的管理可以预防栓塞事件并改善患者的治疗结果.
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