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首页> 外文期刊>Circulation journal >Peripartum cardiomyopathy and biventricular thrombi.
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Peripartum cardiomyopathy and biventricular thrombi.

机译：围产期心肌病和双室血栓。

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摘要

Peripartum cardiomyopathy is a rare cardiac disorder characterized by the development of heart failure in the last month of pregnancy or up to 5 months postpartum in women without other determinable causes of cardiac failure. Intracardiac thrombi have been found at autopsy in some patients with this condition and have been demonstrated in the left or right ventricles on 2-dimensional echocardiography. A 23-year-old woman presented with peripartum cardiomyopathy and biventricular thrombi on echocardiography. The thrombi were spherical, pedunculate, shaggy and irregular in configuration, and freely mobile, suggesting that they were fresh. She was treated with conventional heart failure therapy and anticoagulants. Four days later, the apical thrombi within both ventricles had disappeared and there was no evidence of embolism on physical examination. The hypercoagulable state of the peripartum period and the severe biventricular dysfunction most likely led to the formation of biventricular thrombi.
机译：围产期心肌病是一种罕见的心脏病，其特征是妇女在妊娠的最后一个月或产后5个月内出现心力衰竭，而没有其他可确定的心力衰竭原因。在一些患有这种情况的患者中，尸检时发现了心内血栓，并在二维超声心动图的左心室或右心室中得到了证实。一名23岁妇女在超声心动图上表现为围产期心肌病和双室血栓。血栓呈球形，有花梗，毛茸茸且不规则，可自由活动，表明它们是新鲜的。她接受了传统的心力衰竭治疗和抗凝剂治疗。四天后，两个心室的根尖血栓消失了，体格检查没有栓塞的迹象。围产期的高凝状态和严重的双室功能障碍最有可能导致双室血栓的形成。

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