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败血性肺栓塞:这是一个被低估的诊断吗?
Swati Kolhe1, Pradeep Vaideeswar2
1Department of Pathology, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India.
Indian journal of pathology & microbiology
|December 12, 2023
概括
败血性肺栓塞 (SPE) 涉及肺部的微生物,通常来自皮肤或肌肉骨感染. 尸检显示细菌和真菌感染,导致败血症和肺结合是主要死亡原因.
科学领域:
- 病理学 病理学 病理学
- 肺部医学 肺部医学
- 传染性疾病 传染性疾病
背景情况:
- 非血栓性肺栓塞不常见,包括败血性肺栓塞 (SPE).
- SPE涉及肺血管中的微生物栓塞,通常与血栓形成有关.
- 关于SPE的病理数据有限,需要对尸检进行审查.
研究的目的:
- 通过尸检发现来调查败血性肺栓塞的病理特征.
- 在SPE病例中,将尸检结果与临床和人口统计数据相关联.
主要方法:
- 从2012年至2021年对尸检记录的回顾性审查.
- 基于急性死性肺动脉炎和巩固的诊断.
- 对人口统计,临床表现和尸检结果的分析.
主要成果:
- 确诊了19例SPE病例 (11名男性,8名女性,平均年龄为32.1岁).
- 常见的感染来源:皮肤和肌肉骨系统 (59.7%).
- 主要发现:细菌/真菌殖民地,败血症,肺部巩固,扩散性气膜损伤,动脉血栓形成,心脏病发作,伪动脉瘤,,多炎.
结论:
- 应该怀疑SPE与肺外感染,发烧,细菌病和肺部症状有关.
- 早期识别至关重要,特别是在资源有限的环境中,以防止严重的肺部并发症.
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