中国典型病例大全

报道1例冠状动脉介入治疗术后急性血栓形成病例。患者女，48岁，因“间断胸痛、胸闷1周”入院，入院后完善相关检查，初步诊断为冠状动脉粥样硬化性心脏病。行冠状动脉介入治疗术，术中顺利置入支架。然而术后返回病区途中，患者突发心前区压榨样疼痛，伴有全身大汗、头晕，呕吐1次，复查心电图及造影，确诊为支架内急性血栓形成，立即再次行急诊支架置入。经过积极治疗，患者症状逐渐缓解，生命体征趋于平稳。通过本病例分析，旨在探讨冠状动脉介入治疗术后急性血栓形成的原因、临床表现、诊断方法及治疗策略，从而为临床医生提供参考，提高对此类并发症的认识和处理能力，降低患者死亡率和不良事件发生率。

Reports a case of acute thrombosis after coronary intervention. The patient was a 48-year-old female who was admitted to the hospital due to intermittent chest pain and chest tightness for one week. After completing relevant examinations, she was initially diagnosed with coronary atherosclerotic heart disease. Coronary intervention was performed, and the stent was successfully implanted during the operation. However, on the way back to the ward after the operation, the patient suddenly experienced a squeezing pain in the precordial area, accompanied by profuse sweating, dizziness, and one episode of vomiting. Re-examination of the electrocardiogram and angiography confirmed acute thrombosis within the stent. An emergency stent implantation was immediately performed. After active treatment, the patient's symptoms gradually improved, and her vital signs stabilized. This case aims to explore the causes,clinical manifestations, diagnostic methods, and treatment strategies of acute thrombosis after coronaryintervention, providing a reference for clinicians to enhance their understanding and management of such complications and reduce the mortality and adverse event rates of patients.