相关实验视频
Updated: Jul 19, 2025

07:44
A Porcine Model of Acute Autologous Pulmonary Embolism
Published on: September 6, 2024
452
一个肺瘤栓塞综合征病例,伴有转移中的血栓
Alexandra Fuher1, Esther de Boer1, Peter Hountras1
1Division of Pulmonary Sciences and Critical Care Medicine, Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Respiratory medicine case reports
|August 16, 2023
概括
肺瘤栓塞,在癌症患者中是一种罕见但严重的疾病,被诊断为尿路细胞癌患者出现昏. 通过吸收血栓切除术和化疗迅速治疗改善了生存率.
科学领域:
- 在瘤学瘤学.
- 心血管医学 心血管医学
- 放射学 放射学是一门学科.
背景情况:
- 肺瘤栓塞 (PTE) 发生在3-26%的固体瘤患者中,但往往被诊断不足.
- 泌尿腺癌可以转移,导致血栓栓塞事件.
- 随着昏睡和呼吸障碍的急性表现可能表明严重的潜在疾病,如PTE.
研究的目的:
- 报告肺瘤栓塞综合征 (PTES) 的罕见病例,发生在患有尿路癌的患者身上.
- 突出PTES的诊断挑战和治疗策略.
- 强调及时诊断和癌症特异性治疗对改善PTES结果的重要性.
主要方法:
- 一名74岁的男性患有类泌尿腺癌和左静脉血栓,出现昏迷和呼吸不良.
- CT成像显示了肺动脉填充缺陷和右心房血栓.
- 患者接受了吸血栓切除术,随后进行化疗 (gemcitabine加carboplatin).
主要成果:
- 肺瘤栓塞综合征的诊断是基于成像和病理学.
- 吸收血栓切除术成功移除了瘤栓塞.
- 病理学证实了类泌尿腺癌细胞在栓塞中.
- 患者开始接受化疗以减少瘤负担.
结论:
- PTES与预后不佳有关,但可以有效管理.
- 通过先进的成像进行早期诊断对于及时干预至关重要.
- 将化疗等癌症特异性治疗与干预程序相结合,可以改善PTES患者的生存率.
相关概念视频
Pulmonary Embolism I: Introduction
7
Pulmonary embolism (PE) occurs when a thrombus, fat or air embolus, amniotic fluid, or tumor tissue blocks one or more pulmonary arteries. These blockages originate in the venous system or the right side of the heart.EtiologyPE primarily arises from deep vein thrombosis (DVT) and other hypercoagulable states, such as inherited thrombophilias. Additional etiological factors include venous stasis, commonly seen in obesity, and endothelial injury from surgery and trauma. Less common causes include...
7
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
10
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
10
Pulmonary Embolism III: Nursing Management
15
A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
15
Venous Thrombosis I: Introduction
12
Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
12
Radiological Investigation III: Pulmonary Angiogram and PET Scan
115
Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
115
Pneumothorax-I
252
A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
252

