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左室内血栓が急性に出現した拡張型心筋症の一例
http://hdl.handle.net/10422/5693
http://hdl.handle.net/10422/569347d4e97c-8ad5-4b06-8ec7-76b0f9abed29
名前 / ファイル | ライセンス | アクション |
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jsums2701p009.pdf (825.9 kB)
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2016-04-12 | |||||
タイトル | ||||||
タイトル | 左室内血栓が急性に出現した拡張型心筋症の一例 | |||||
言語 | ||||||
言語 | jpn | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | departmental bulletin paper | |||||
その他のタイトル | ||||||
その他のタイトル | Acute left ventricular thrombosis in a patient with dilated cardiomyopathy | |||||
タイトル(ヨミ) | ||||||
その他のタイトル | サシツナイ ケッセン ガ キュウセイニ シュツゲンシタ カクチョウガタ シンキンショウ ノ イチレイ | |||||
著者 |
八木, 典章
× 八木, 典章× 山路, 正之× 伊藤, 英樹× 山本, 孝× 浅井, 徹× 堀江, 稔 |
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内容記述 | ||||||
内容記述タイプ | Other | |||||
内容記述 | A 49-year-old male was admitted to our hospital for therapy of congestive heart failure. He underwent echocardiography, which revealed severe systolic dysfunction of left ventricle as dilated cardiomyopathy, while we were unable to detect thrombus in left ventricle on admission. Coagulation values for D-dimer, congenital antithrombin III and protein C were within the normal range. He was treated with continuous infusion of carperitide and furosemide.Though he immediately started to receive both heparin sodium at a dose of 10,000 units/day and warfarin potassium at a dose of 2 mg/day to avoid thrombus after admission, activated partial thromboplastin (APTT) time and prothrombin time-International normalized ratio (PT-INR) failed to be sufficiently prolonged. A few floating thrombi about 2 centimeters in diameter appeared around the apex of the left ventricle when his left ventricle was assessed by echocardiography after only 3 days .Emergency cardiotomy was performed and all thrombi were successfully removed. This is particularly important because thrombi could fall onto the aortic valve, which could lead to sudden death . | |||||
書誌情報 |
滋賀医科大学雑誌 巻 27, 号 1, p. 9-13, 発行日 2014-03-11 |
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出版者 | ||||||
出版者 | 滋賀医科大学雑誌編集委員会 | |||||
資源タイプ | ||||||
内容記述タイプ | Other | |||||
内容記述 | Departmental Bulletin Paper |