[幼儿心力衰竭;严重导致食问题]
Stef M A Wingens1, Zina Fejzic2, Bart C W Kuipers1,3
1Jeroen Bosch Ziekenhuis, afd. Kindergeneeskunde, 's-Hertogenbosch.
Nederlands tijdschrift voor geneeskunde
|August 23, 2023
概括
儿科心力衰竭虽然很罕见,但可能源于诸如从肺动脉出发的异常左冠状动脉 (ALPACA) 等疾病. 早期识别儿科心力衰竭对于及时干预和改善结果至关重要.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 遗传性心脏病是一种先天性心脏病.
- 儿科重症监护 儿科重症监护
背景情况:
- 婴儿的食问题很常见,但可能表明严重的潜在病理.
- 儿科心力衰竭是一种严重的疾病,由于严重后果,需要及早诊断.
- 来自肺动脉的异常左冠状动脉 (ALPACA) 是婴儿心力衰竭的罕见但严重原因.
研究的目的:
- 为了突出认识到心力衰竭在患有食困难的婴儿中的重要性.
- 为了呈现由ALPACA综合征引起的末期心力衰竭病例.
- 讨论儿科心力衰竭的临床表现和诊断方法.
主要方法:
- 一个15周大的女婴的病例报告,持续存在养问题和透气.
- 临床检查发现心力衰竭的迹象.
- 心声图显示左心室严重扩张和收缩能力受损.
主要成果:
- 婴儿被诊断出患有肺动脉左冠状动脉异常 (ALPACA) 的末期心力衰竭.
- 身体检查发现包括与心力衰竭一致的迹象.
- 心声图证实了严重的左心室扩张和功能障碍.
结论:
- 呈现持续养问题,对营养干预无反应的婴儿应评估心脏病理.
- 来自肺动脉的异常左冠状动脉 (ALPACA) 可以在婴儿期表现为心力衰竭.
- 及时识别和转诊儿科医生对于治疗儿科心力衰竭至关重要.
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