摘要
目的 研究经胸和经食管超声心动图 (TTE和TEE)在二尖瓣狭窄合并左房血栓的患者行小剂量华法令干预治疗中的随访价值。方法 对 2 2例风心二尖瓣狭窄合并左房血栓的患者行小剂量华法令 ( 2mg d)干预治疗 3～ 7月 ,以TTE或TEE随访。结果 除 3例失访 1例自行停药外 ,另 18例治疗 3～ 7月内血栓消失或机化均成功实施经皮二尖异球囊扩张术 ,其中 8例 ( 44 .4% )经TTE随访 ,与TEE随访符合率为 75 %。结论 小剂量华法令治疗二尖瓣狭窄合并左房血栓疗效确切 ,并发症少 ,TTE随访仍有一定价值。
Qbjective The follow-up value of transthoratic and transesophageal echocardiography(TTE and TTE)was evaluated in low-dose warfarin treatments in patients with mitral stenosis and left artrial throlbi.Methods Twenty-two patients with mitral stenosis and left atrial thrombi were treated with low-dose warfarin(2mg/day) for 3 to 7 months. TTE and/s TEE were performed during follow-up.Results Thrombi disappared after 3～7 months of therapy in 18 patients and the other 4 patients were lost during follow-up.percutaneous balloon mitrial valvuloplasty was performed successfully.The consistency ratio betweem TTE and TEE methods during follow-up was 75%.Conclusions Low-dose warfarin therapy has a reliable antethrombetic-thrombolytic effect and little side-effect.TTE is still valuable to some extent during follow-up.
出处
《临床超声医学杂志》
2001年第6期347-349,共3页
Journal of Clinical Ultrasound in Medicine
