心房颤动继发左锁骨下动脉栓塞导管抽吸治疗1例
易东,王炜,王心宇,徐纯鑫,彭剑,鄢华
摘要(Abstract):
<正>1临床资料患者女,76岁。主因"活动时心慌2年,加重伴气短2个月"于2019年12月9日收治于武汉亚洲心脏病医院心内科。既往曾因心慌于外院就诊,诊断为"心律不齐",曾间断口服地尔硫,间断好转。近2个月患者心慌不适加重,伴有轻度活动时气短。既往高血压病病史10余年,血压控制良好。入院查体:呼吸20次/分,心率122次/分,血压150/100mmHg(1 mmHg=0.133 kPa),双肺底可闻及少量湿性啰音,心律绝对不齐,第一心音强弱不等,心脏各瓣膜听诊区未闻及杂音;双下肢无水肿,双侧桡动脉及足背动脉搏动对称。实验室检查:三酰甘油4.32 mmol/L,总胆固醇6.52 mmol/L,低密度脂蛋白胆固醇3.83 mmol/L;肌酐109μmol/L,
关键词(KeyWords): 心房颤动;锁骨下动脉栓塞;抗凝;血栓抽吸
基金项目(Foundation): 湖北省卫生厅科技人才项目(QJX2012-35)
作者(Author): 易东,王炜,王心宇,徐纯鑫,彭剑,鄢华
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