| 摘要: |
| 目的：探讨肾移植术后血栓形成原因及超声成像的早期诊断价值；回顾分析肾移植术后10年右心室巨大血栓致肺栓塞一例：结论：既往研究显示，血栓最常发生于移植术后6个月内，但在高血压、超重、肾功能不全等多种危险因素作用下远期仍然具有血栓形成风险，临床上需要加强评估，预防在先，及时治疗；心脏超声成像能准确发现心腔内血栓性病变，结合下肢血管超声，为肺栓塞的早期诊断赢得时机，抗血栓治疗疗效显著。 |
| 关键词: 肾移植 心脏血栓 下肢血栓 肺栓塞 超声心动图 心脏超声造影 |
| DOI： |
| 投稿时间：2020-11-09修订日期：2020-11-12 |
| 基金项目: |
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| A case of pulmonary embolism caused by huge right ventricular thrombosis 10 years after kidney transplantation |
| lu shirui,zhu ying,liu yani |
| () |
| Abstract: |
| Objective: To investigate the causes of thrombosis after renal transplantation and the value of early diagnosis of ultrasound imaging; retrospectively analyze a case of pulmonary embolism caused by a huge right ventricular thrombosis 10 years after renal transplantation: Conclusion: Previous studies have shown that thrombosis most commonly occurs after transplantation6 Within months, but under the action of various risk factors such as hypertension, overweight, renal insufficiency, there is still a long-term risk of thrombosis. Clinically, it is necessary to strengthen evaluation, prevent first, and treat in time; cardiac ultrasound imaging can accurately find the heart cavity Internal thrombotic lesions, combined with lower extremity vascular ultrasound, win the opportunity for the early diagnosis of pulmonary embolism, and the antithrombotic treatment has a significant effect. |
| Key words: Kidney transplantation Cardiac thrombosis Lower extremity thrombosis Pulmonary embolism Echocardiography Contrast-enhanced echocardiography |
