肺栓塞合并卵圆孔未闭——反常栓塞的危险因素

Risk Factors of Paradoxical Embolism-Pulmonary Embolism Complicated with Patent Foramen Ovale

近年来,随着对肺栓塞认识的不断深入,其临床检出率已逐渐提高。曾有较多肺栓塞诊治及误诊分析的报道,亦有许多反常栓塞所致缺血性脑卒中事件的报道,但肺栓塞合并反常栓塞的详细报道鲜见。现将肺栓塞合并反常栓塞的发病机制、诊断和治疗方面的新进展进行综述,旨在拓宽对各类手术后突然出现不明原因的肺栓塞等合并症时能正确思考和采取及时有效的处理对策。

In recent decades we have increased our understanding of pulmonary embolisms through work in the clinical setting.Many of the reports generated by clinics have provided analyses of the pulmonary embolism diagnosis,misdiagnosis and paradoxical embolism caused by ischemic stroke events.However,there have been few reports about the paradoxical embolism that originates from a pulmonary embolism.This article summarizes the pathogenesis,diagnosis and treatment of this disease.