顺便说一句,通过对比增强型计算机断层扫描检测到无症状的异常性脏病发作:一个病例报告
Mariko Mizusugi1, Tsuneaki Kenzaka1,2
1Department of Internal Medicine, Hyogo Prefectural Tamba Medical Center, Tamba 669-3495, Hyogo, Japan.
Medicina (Kaunas, Lithuania)
|June 28, 2023
概括
本案例研究呈现了一种罕见的无症状脏梗塞,偶然诊断出来. 里瓦洛克萨班治疗导致缓解,这表明短期抗凝药可能对异常性脏病发作有效.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 血管医学 血管医学
- 在瘤学瘤学.
背景情况:
- 脏梗塞非常罕见,超过95%的病例呈现症状.
- 之前没有关于无症状脏梗塞的报道,没有异常的血液或尿液发现.
- 治疗异常性脏梗塞的长期疗效仍未确定.
研究的目的:
- 报告一个无症状的异常性脏梗塞的独特病例.
- 在癌症随访期间讨论偶然诊断.
- 评估治疗和长期结果.
主要方法:
- 一名63岁的男性有直肠癌史,偶然通过成像诊断出患有脏梗塞.
- 用对比度增强的计算机断层扫描 (CT) 识别了病变.
- 开始治疗时使用里瓦罗克萨班15毫克/天.
主要成果:
- 该患者患有无症状的异常性脏梗塞,血液和尿液检测正常.
- 扫描图显示右的对比较差的区域没有确定的原因.
- 里瓦罗克萨班治疗导致病变缓解.
- 抗凝药在18个月后停止,没有并发症.
结论:
- 这是一个罕见的无症状异常性脏梗塞病例,偶然发现.
- 短期抗凝药疗法可以有效且安全地终止.
- 治疗时间应平衡疗效与出血风险.
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