急性肺栓塞合并卵圆孔未闭致院内缺血性脑卒中1例

A case of ischemic stroke in hospital caused by acute pulmonary embolism with patent foramen ovale

反常栓塞是指来源于体静脉循环的栓子,经卵圆孔未闭(patent foramen ovale,PFO)、房间隔缺损(atrial septal defect,ASD)、室间隔缺损或心脏外交通等途径进入体动脉循环,进而导致的血栓栓塞事件[1-2],临床上少见。本文介绍1例急性肺栓塞合并PFO患者,在其急诊治疗期间发生缺血性脑卒中。本文总结该例患者的临床资料及诊治经过,并对相关文献进行复习。

Paradoxical embolism is a thromboembolic event that occurs when an embolus from the somatic venous circulation enters the somatic arterial circulation by some way, which leads to thromboembolism. It is rare in clinical practice, and most patients have patent foramen ovale or atrial septal defect. This paper introduces a case of acute pulmonary embolism complicated with ischemic stroke in hospital, introduces its clinical data, diagnosis and treatment, and general situation of "paradoxical embolism", and reviews relevant literature.