相关实验视频
Updated: Jul 18, 2025

07:27
Implantation of Total Artificial Heart in Congenital Heart Disease
Published on: July 18, 2014
24.7K
急性肺栓塞与心律失常,伴随着成人疾病的最小变化:一个病例报告
Chunyan Rong1, Xuhan Liu1, Baoguo Wang1
1Department of Cardiovascular Medicine, The First Hospital of Jilin University, Changchun, China.
Frontiers in cardiovascular medicine
|August 24, 2023
概括
最小变化疾病 (MCD) 即使在成年人中也会引起血栓,尽管这种情况很少见. 这一案例凸显了在患有MCD的成年人中考虑静脉血栓塞栓症 (VTE) 的重要性,特别是在皮质类固醇治疗期间.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 心脏病学 心脏病学
- 血液学 血液学 血液学
背景情况:
- 最小变化疾病 (MCD) 是儿童综合征 (NS) 的常见原因,但在成年人中很少见.
- 通常,MCD对皮质类固醇有很好的反应,但容易复发.
- 静脉血栓栓塞 (VTE) 是MCD的一个不常见的并发症.
研究的目的:
- 报告一个罕见的成人MCD病例,急性肺栓塞 (PE) 和心律失常.
- 讨论MCD,高凝血状态和VTE之间的潜在联系.
- 要突出管理的VTE和相关的心律失常在一个成人MCD患者.
主要方法:
- 一个患有MCD的成年患者的病例报告.
- 治疗包括皮质类固醇,对VTE/PE的抗凝药和抗心律不良药.
- 无线电频率切除用于复发性心房动.
主要成果:
- 患者经历了急性肺栓塞 (PE) 和心房动脉节律失常症.
- 对心律失常的阿米奥达龙初始治疗不足,需要重新入院.
- 射频除成功稳定了患者的心脏状况.
结论:
- 在成年人中,与MCD相关的VTE是罕见的,需要注意.
- 对MCD的皮质类固醇治疗可能会增加血栓形成的风险.
- 需要进一步研究MCD中VTE的机制.
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
Cardiomyopathy II: Dilated Cardiomyopathy
11
Dilated cardiomyopathy, or DCM, is a progressive myocardial disorder characterized by ventricular chamber dilation and contractile dysfunction.EtiologyVarious factors can cause DCM, including hypertension and heavy alcohol intake, which contribute to the weakening and enlargement of the heart muscle. Viral infections, such as Coxsackievirus B, adenoviruses, and influenza, can lead to DCM by causing inflammation and damage to heart tissue. Certain chemotherapeutic agents, including daunorubicin,...
11
Coronary Artery Disease III: Clinical Manifestations
13
Coronary Artery Disease (CAD) is a primary health risk worldwide, leading to significant morbidity and mortality. The condition arises from the buildup of atherosclerotic plaques within the coronary arteries, resulting in diminished blood supply to the heart muscle.The clinical manifestations of CAD vary widely, from asymptomatic stages to severe, life-threatening conditions. Understanding these manifestations is crucial for early diagnosis and effective management.Angina Pectoris: The Warning...
13
Cardiomyopathy IV: Restrictive Cardiomyopathy
12
Restrictive cardiomyopathy (RCM) is a rare heart muscle disease characterized by impaired ventricular filling due to stiffened ventricular walls, leading to significant diastolic dysfunction.EtiologyRestrictive cardiomyopathy can arise from both inherited and acquired diseases, many of which are systemic. It is categorized into four main types: infiltrative, storage, non-infiltrative, and endomyocardial diseases.Infiltrative diseases, such as amyloidosis, lead to RCM by depositing amyloid...
12

