揭开连续线圈的奥秘:一个案例报告
Ryan Brown1, Sharon Kim2, Robert Tennill1
1Southern Illinois University School of Medicine, Department of Emergency Medicine, Springfield, IL.
Journal of education & teaching in emergency medicine
|July 19, 2023
概括
血管内线圈栓塞越来越多地用于出血. 一个罕见的病例突显了线圈向右心室的迁移,强调了在术后出现新症状的患者需要保持警.
科学领域:
- 干预性放射学 干预性放射学
- 血管外科 血管外科
- 心脏病学 心脏病学
背景情况:
- 血管内线圈栓塞是治疗出血的常见程序.
- 线圈迁移虽然是一种已知的并发症,但可能导致严重的后果.
- 尽管取得了进展,但卷轴迁移的风险仍然存在.
研究的目的:
- 报告一种罕见的内血管线圈向右心室迁移的病例.
- 为了突出线圈栓塞手术的潜在并发症.
- 强调在差异诊断中考虑线圈迁移的重要性.
主要方法:
- 一个病例报告详细介绍了一名患者,他接受了胃水出血的血管内线圈栓塞.
- 在手术后大约两个月,偶然发现了右心室的迁移线圈.
- 对患有呼吸不全和腹部疼痛的患者表现的审查,由成像支持.
主要成果:
- 鉴定出了一个栓塞线圈迁移到右心室的病例.
- 这种迁移是偶然发现的,这是在一个患者评估不相关症状时发现的.
- 患者出现呼吸不全和腹部疼痛,促使进一步调查.
结论:
- 线圈迁移是与内血管栓塞程序相关的重大风险.
- 临床医生应考虑在患有相关症状后栓塞的患者中进行线圈迁移.
- 警和意识对于管理线圈栓塞的潜在并发症至关重要.
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