Arquivos brasileiros de cardiologia · 2007
Combined rTPA and aspirin therapy for intracardiac thrombosis in neonates.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Tardin Fernanda Almeida, Avanza Antônio Carlos, Andião Marcos Rogério Arantes, Rabello Sônia Maria Alves Andrade, Cristello Emília de Mattos Gouvêa, Baltan Edna Cellis Vaccari, Pegurin Edelweiss Bussinguer Pereira, Oliveira Norma Suely
Аннотация
We describe a case of a very low birth weight premature female twin with intracardiac thrombosis. Her condition was consistent with neonatal sepsis, and she was treated with advanced life support, antibiotic therapy, parenteral nutrition, blood transfusion, and central venous catheterization. Infective endocarditis was suspected, and a large intracavitary thrombus was detected by two-dimensional Doppler echocardiography. Surgical procedure was not only technically difficult but also highly lethal, being contraindicated in some cases. Consequently, the use of the thrombolytic recombinant tissue-plasminogen activator (rTPA) associated with aspirin was the treatment of choice, and complete dissolution of the thrombus was achieved without adverse effects.