相关实验视频
Updated: Jan 31, 2026

10:52
Closure of a Patent Foramen Ovale PFO: An Intervention Sequence
Published on: December 23, 2022
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致命的间腔性缺血,由一个假定的悖论性栓塞通过一个专利的卵巢孔
George K Annan1, Brice Njobe1, Neaam I Al Bahadili1
1Internal Medicine, Piedmont Athens Regional Medical Center, Athens, USA.
Cureus
|January 30, 2026
概括
通过 patent foramen ovale (PFO) 的悖论性栓塞是一种罕见的急性中肠缺血的原因. 在患有PFO和DVT的患者中,停止抗凝药导致致命的间肠缺血.
科学领域:
- 血管外科 血管外科
- 心脏病学 心脏病学
- 胃肠病学 胃肠病学
背景情况:
- 急性中管缺血是一种关键的血管紧急情况,经常由动脉栓塞引起.
- 通过 patent foramen ovale (PFO) 的悖论性栓塞是已知的中风原因,但是中枢动脉封闭的未被认可的原因.
研究的目的:
- 为了突出罕见的悖论性栓塞导致急性中肠缺血的罕见情况.
- 强调PFO和静脉血栓栓塞症患者持续抗凝和随访的重要性.
主要方法:
- 一个68岁的妇女的病例报告,她有悖论性栓塞,DVT和PFO病史,呈现急性介质缺血症.
- 诊断工作包括CT血管造影,遥测,血液培养和下肢多普勒超声波.
- 评估潜在的血栓源和与抗凝血中断的时间关系.
主要成果:
- 患者出现了突然严重的腹痛和吐,CT血管造影显示上层介质动脉封闭.
- 没有发现心房动或心内血栓的证据;存在慢性深静脉血栓症.
- 尽管进行了紧急的手术,但患者经历了广泛的肠道缩并死亡.
结论:
- 通过PFO发生悖论性栓塞是一种罕见但至关重要的中肠缺血病因.
- 持续的抗凝药和勤奋的随访对于PFO和静脉血栓塞瘤患者至关重要,特别是怀疑高凝血状态的患者.
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