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急性心肌梗死合并肺栓塞一例 被引量:1

A young adult with acute myocardial infarction and pulmonary embolism: a case report of thrombophilia
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摘要 1病例资料 患者男,28岁。因“外伤后突发胸闷、胸痛”于2008年8月28日入院。患者1月余前左脚踝扭伤后局部肿胀伴淤血,仍能行走,行针灸治疗,过程中出现恶心,休息后好转,半小时后于家中进餐时发作胸闷,有哽噎感,呈持续性,未在意。次日活动时突发心前区剧烈胸痛,呈烧灼感,伴大汗、面色苍白,胸痛无放射,无黑喙、晕厥,疼痛持续约20min后缓解,就诊当地,
出处 《中国心血管杂志》 2013年第3期216-217,共2页 Chinese Journal of Cardiovascular Medicine
关键词 心肌梗死 肺栓塞 易栓症 Myocardial infarction Pulmonary embolism Thrombophilia
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参考文献6

  • 1SegevA, Ellis MH, Segev F, et al. High prevalence of thrombophilia among young patients with myocardial infarction and few conventional risk factors. Int J Cardiol, 2005,98 : 421- 424.
  • 2Middeldrop S, Buller HR, Prins MH, et al. Approach to the thrombophilia patient. Hemostasis and Thrombosis. Basic Principles and Clinical Research, 4th ed. Philadelphia, USA: Lippincott Williams and Wilkins,2001. 1085-1100.
  • 3De Stefano V, Leone G, Mastrangelo S, et al. Clinical manifestations and management of inherited thrombophilia: retrospective analysis and follow-up after diagnosis of 238 patients with congenital deficiency of antithrombin III, protein C, protein S. Thromb Haemost, 1994,72:352-358.
  • 4Bux-Gewehr I, Nacke A, Feurle GE. Recurring myocardial infarction in a 35 year old woman. Heart,1999,81:316-317.
  • 5De Stefano V, Leone G, Micalizzi P, et al. Arterial thrombosis as clinical manifestation of congenital protein C de? ciency. Ann Hematol, 1991,62 : 180-183.
  • 6DeStefanoV, Rossi E, PaciaroniK, et al. Screening for inherited thrombophilia : indications and therapeutic implications. Haematolo:,ica.2002.87 : 1095 -1108.

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