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静脉血栓不能进入体循环引起动脉栓塞(只有心脏左侧血栓才能引起动脉栓塞),仅能终止于肺部引起肺栓塞;故Cohnhein氏将静脉血栓进入体循环引起动脉栓塞现象称为矛盾性栓塞或相反性栓塞。该氏于1877年见到静脉血栓穿过心内缺损进入体循环并引起了动脉栓塞,首次确诊了矛盾性栓塞。此后文献报告过的总共有128例,几乎全部是意外地死后发现,仅有12例临床发觉了。
Venous thrombosis can not enter the systemic circulation caused by arterial embolism (only the left heart thrombus to cause arterial embolism), can only terminate in the lungs causing pulmonary embolism; so Cohnhein’s venous thrombus into the systemic circulation caused by arterial embolism known as paradoxical embolism or the opposite embolism. The 1877 saw the venous thrombus through the heart defect into the systemic circulation and caused by arterial embolism, for the first time confirmed contradiction embolism. Since then, a total of 128 reports have been reported in the literature, and almost all of them were found to have died unexpectedly. Only 12 cases were clinically discovered.