儿童心肌病心腔内血栓研究进展

Research Progress of Intracardiac Thrombus in Children with Cardiomyopathy

摘要: 心肌病是以心肌结构异常，伴有机械及电功能障碍的高度异质性心肌疾病，后期出现心脏增大，常表现为心力衰竭。心肌病心腔内血栓在儿童时期少见，但预后极差。是心肌病严重并发症之一。脱落的血栓可栓塞全身重要器官，可导致患者致残或者死亡，因此提高对儿童心肌病合并心腔内血栓的认识及其重要。近年来，心肌病心腔内血栓病因病机认识取得了较多进展。本文通过详细阐述儿童心肌病并发心腔内血栓的形成原理、风险因素以及诊断和治疗的进展，为未来的深入研究和治疗这种疾病提供理论支持和方向。

Abstract: Cardiomyopathy is a highly heterogeneous myocardial disease with abnormal myocardial structure and mechanical and electrical dysfunction. In the later stage, the heart appears enlarged and often presents with heart failure. Intracardiac thrombus in cardiomyopathy is rare in childhood, but the prognosis is extremely poor. It is one of the serious complications of cardiomyopathy. Shed throm-bus can embolize important organs of the whole body, which can lead to disability or death of pa-tients. Therefore, it is important to improve the understanding of children with cardiomyopathy complicated with intracardiac thrombus. This article elaborates the formation principle, risk fac-tors, diagnosis and treatment progress of children’s cardiomyopathy complicated with intracardiac thrombus, and provides theoretical support and direction for further research and treatment of this disease in the future.