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本文报道1例心脏移植术后第14天发生的致命脑内出血。 患者女性,42岁。患肥大性非梗阻型心肌病。入院时伴房颤和充血性心力衰竭(心功能Ⅳ级)。超声心动图和血液动力学检查均提示左室功能降低(射血指数分别为22％和25％)。由于病人为顽固性心衰,故做了常位心脏移植,手术过程顺利,术后给予环孢霉素、硫唑嘌呤和强的松治疗,但未接受抗凝剂或抗血栓药物治疗。术后其心脏状况明显改善,平均血压升至20.0/12.7kPa(150/95mmHg)。术后第6
This article reports a fatal intracerebral hemorrhage that occurred on the 14th day after heart transplantation. Patient female, 42 years old. Suffering from hypertrophic non-obstructive cardiomyopathy. Admission with atrial fibrillation and congestive heart failure (cardiac function grade Ⅳ). Echocardiography and hemodynamic examination both showed a decrease in left ventricular function (ejection index of 22% and 25%, respectively). As the patient is refractory heart failure, so did a heart transplant, the operation was smooth, postoperative cyclosporine, azathioprine and prednisone treatment, but did not receive anticoagulants or antithrombotic drug treatment. After the cardiac condition improved significantly, the average blood pressure rose to 20.0 / 12.7kPa (150 / 95mmHg). After the sixth