突发性肺 继发性至持久性左上静脉
Jack Demirjian1, Rohan Divecha1, Emmanuel Garrastegui-Mercado1
1Department of Internal Medicine, Del Sol Medical Center, El Paso, United States.
European journal of case reports in internal medicine
|December 11, 2023
概括
持续的左上 vena cava (PLSVC) 是一个常见的异常. 这一案例突出了PLSVC患者在胃肠道手术后出现的闪发性肺的罕见并发症,强调了对其病理生理学的认识和理解的需要.
科学领域:
- 心血管医学 心血管医学
- 有先天性异常.
- 胸部静脉系统 胸部静脉系统
背景情况:
- 持续的左上静脉 (PLSVC) 是胸腔静脉系统的一个常见的先天性异常.
- 通常是无症状的,PLSVC通常是在无关的心血管成像期间发现的.
- 它的存在可能会使心脏导管和手术程序复杂化.
研究的目的:
- 介绍一个案例,详细说明PLSVC的实际影响.
- 为了突出PLSVC患者在胃肠道手术后出现闪发性肺的情况.
- 为这种并发症提出一种病理生理机制.
主要方法:
- 案例报告的呈现方式.
- 对临床管理策略的审查.
- 讨论拟议的病理生理机制.
主要成果:
- 一名患有PLSVC的患者在拉巴洛斯科普胆囊切除术和ERCP后出现了爆发性肺.
- 管理导致了患者症状的解决.
- 这项研究提出了一种新的病理生理学解释观察到的并发症.
结论:
- 在PLSVC患者中胃肠道手术并发症的研究不足.
- 告知医学界关于PLSVC患者闪发性肺水腫的潜在病理生理学的信息至关重要.
- 这一案例强调了在经过胃肠道干预后出现意想不到的心肺并发症的患者考虑PLSVC的重要性.
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