相关实验视频
Updated: Mar 12, 2026

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Semi-automated Optical Heartbeat Analysis of Small Hearts
Published on: September 16, 2009
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一个出血的心脏令人震惊的案例.
Muhammad I Khan1, Samra Israr2, Muhammad H Khan2
1Greater Baltimore Medical Center, Towson, MD, USA.
Journal of community hospital internal medicine perspectives
|March 11, 2026
概括
阿皮克萨班是一种直接的口服抗凝剂,很少引起心血管炎,这是一个严重的疾病. 这一案例突显了患有病的患者的风险,强调了对不良药物事件的仔细监测.
科学领域:
- 心脏病学 心脏病学
- 药理学 药理学是指药理学的学科.
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 血凝心脏是抗凝药的罕见但危及生命的并发症.
- 直接口服抗凝剂 (DOAC) 与出血有关,但阿皮克萨班诱导的心血管炎异常罕见.
研究的目的:
- 在患有末期脏疾病 (ESRD) 的患者中报告一种罕见的阿皮克萨班诱导的血心脏病.
- 为了突出高风险人群中DOAC相关的血心脏风险未被充分认识到.
主要方法:
- 一个56岁的女性病例报告,患有多种并发症,出现呼吸障碍.
- 诊断成像显示了巨大的心周溢出;进行了心周切除术.
- 周心液分析排除了恶性瘤和感染;阿皮克萨班被确定为可能的原因.
主要成果:
- 一名56岁的女性患有ESRD,接受血液透析,患上了心血管膜炎.
- 1560毫升的出血液被通过心脏中心检查排出.
- 艾皮克萨班被确定为可能的致病原体.
结论:
- 与DOAC相关的心血管炎是一种未被认可的并发症,特别是在功能障碍患者中.
- 建议在给ESRD患者处方DOAC时谨慎使用,因为药物积累的风险增加.
- 早期心声回声和及时干预对于管理心脏血脉的治疗至关重要.
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