在 carotid endarterectomy 之后无症状的甲状腺下部出血:一个说明性的案例
Shin Nemoto1,2, Takuma Maeda2, Keiichi Yamashita1
11Department of Neurosurgery, Mito Brain Heart Center, Mito, Ibaraki, Japan; and.
Journal of neurosurgery. Case lessons
|October 23, 2023
概括
在 carotid endarterectomy (CEA) 后,发生了一种罕见的非动脉瘤下关节出血 (SAH). 这强调了需要进行术后监测和严格的血压控制,以防止并发症.
科学领域:
- 神经外科 神经外科
- 血管外科 血管外科
- 神经学 神经学
背景情况:
- 动脉内关节切除术 (CEA) 和支架治疗内动脉狭窄症.
- 大脑溢血综合征 (CHS) 是一种已知的并发症,可能导致出血.
- 非动脉瘤下关节出血 (SAH) 是一种罕见但严重的并发症.
研究的目的:
- 在CEA后报告一个罕见的非动脉瘤性SAH病例.
- 审查有关这种并发症的文献.
- 强调术后监测和管理的重要性.
主要方法:
- 一份病例报告,一名70岁的女性患有严重的动脉狭窄,正在接受CEA.
- 手术后的护理包括严格的血压控制和对CHS的监测.
- 随访MRI用于评估SAH进展情况.
主要成果:
- 患者在术后第7天出现了无症状的SAH.
- 没有发现CHS的证据.
- 随访MRI没有显示SAH的扩大,并且患者在修改的兰金级得分为0.0的情况下出院.
结论:
- 非动脉瘤性SAH是一种罕见的CEA并发症,即使在无症状的个体中也是如此.
- 手术后的MRI对于在CEA后检测SAH至关重要.
- 经过CEA后,仔细的血压控制是关键的,无论症状如何.
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