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心脏瓣膜置换术后抗凝不当与食管血肿相关1例 被引量:1

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摘要 患者女性,59岁,因“风湿性心脏病二尖瓣瓣膜置换术后6年,胸痛、吞咽梗阻1周”人院。患者6年前行二尖瓣机械瓣膜置换,术后长期服用华法林抗凝,平素未进行凝血监测。1周前无诱因出现剑突下疼痛不适,伴呕吐胃内容物。有进食吞咽困难,感胸闷不适。查体:心界扩大,心律不齐,心率大于脉率,心尖区闻及机械瓣膜金属音。
出处 《西南军医》 2015年第4期384-385,共2页 Journal of Military Surgeon in Southwest China
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