一种不寻常的血栓形成模拟左三心房

Surucu Murat, Gursu Hazım Alper, Çetinİbrahim İlker
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诊断为巴特综合症在病史中,了解到她因败血症、肺炎住院,并进行了脐静脉导管插管。出生第7天,由于杂音进行的超声心动图除卵圆孔外没有其他病理。体检时,心率136次/bpm,呼吸频率28次/ min,血压85/52 mmHg,脉搏血氧计外周氧饱和度94%。患者无呼吸困难。心系区有2/6收缩期杂音。全血细胞计数:白细胞:14000 /mm 3,血红蛋白:11g /dl,血小板:280000/mm 3。肝肾功能检查,C反应摘要中心静脉导管是临床常用的导管。右心房血栓形成是一种相对常见的并发症与留置导管的使用。血栓可以在不同的位置和形式在血管和心脏内的结构。超声心动图图像可以模拟一些解剖和病理变异。我们描述了一个病例的两个月大的女孩与血栓,其心脏三心房右旋样外观在右心房由于中心静脉导管。
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An Unusual Thrombosis Mimicking Cor Triatriatum Dextra
diagnosed Bartter syndrome. In her history, it was learned that she was hospitalized for sepsis, pneumonia and was cannulated with the umbilical venous catheter. Seventh day of the birth, echocardiography performed due to murmur had no additional pathology other than foramen ovale. In her physical examination, the heart rate was 136/bpm, respiratory rate was 28/ min, blood pressure was 85/52 mmHg, and peripheral oxygen saturation was 94% by pulse oximetry. The patient had no dyspnea. There was a 2/6 systolic murmur over mesocardiac area. Complete blood count revealed leucocyte: 14.000/mm 3 , hemoglobin: 11 g/dl, platelet: 280000/mm 3 . Hepatic and renal function tests, C reactive Abstract Central venous catheters are commonly used in clinical practice. Right atrial thrombosis is a relatively common complication associated with indwelling catheter use. Thrombosis can be in different locations and forms within vascular and intracardiac structures. Echocardiographic images may mimic some anatomic and pathologic variants. We describe a case of a two-months-old girl with a thrombus which cor triatriatum dexter-like appearance in the right atrium due to the central venous catheter.
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