CAJ | 학술논문

多种病因可引起小儿心腔内血栓,常见病因为慢性心力衰竭和限制型心肌病,该病缺乏特异的临床症状、体征,90%的左心室血栓发生于心尖部.二维超声心动图(尤其是经食管超声心动图)、心脏CT为检出心腔内血栓的常用方法.心腔内血栓的治疗包括抗凝、溶栓及手术治疗.该文就小儿心腔内血栓病因、临床诊断及治疗作一概述.
다충병인가인기소인심강내혈전,상견병인위만성심력쇠갈화한제형심기병,해병결핍특이적림상증상、체정,90%적좌심실혈전발생우심첨부.이유초성심동도(우기시경식관초성심동도)、심장CT위검출심강내혈전적상용방법.심강내혈전적치료포괄항응、용전급수술치료.해문취소인심강내혈전병인、림상진단급치료작일개술.
Intracardial thrombus in children is induced by multiple etilolgies. The most common reasons are chronic heart failure and restrictive cardiomyopathy. Intracardial thrombus lack specific symptom and sign. More than 90% intracardial thrombus of left heart are localized at apex. The two-dimensional echocardiogramgram, especially transesophageal echocardiography and heart computer scan are the common methods to check out intracardial thrombus. The therapy of intracardial thrombus include anticoagulation, thrombolysis and operation. This review summarized recent studies about intracardial thrombus in terms of etiology, diagnosis and treatments.