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A Porcine Model of Acute Autologous Pulmonary Embolism
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肺栓塞的心电图特征在患有正常D-dimer和缺氧的患者中
Mehul S Amin1, Rifat Ershad2, Nikhil Kadam3
1Internal Medicine, Southend University Hospital, London, GBR.
Cureus
|December 27, 2023
概括
这份病例报告强调了在诊断肺栓塞时高度怀疑的必要性,即使是正常的D-二次数. 早期的抗凝治疗对于管理这种危及生命的疾病至关重要.
科学领域:
- 心脏病学 心脏病学
- 肺部病理学 肺部病理学
- 医学案例报告 病例报告
背景情况:
- 肺栓塞 (PE) 是一种严重的疾病,需要立即进行医疗干预.
- 临床表现可能是多样化的,使得诊断具有挑战性.
研究的目的:
- 报告一个76岁男性肺栓塞病例.
- 突出诊断挑战和临床怀疑的重要性.
- 要强调的是,一个正常的D-二次元并不排除PE.
主要方法:
- 一个76岁的男性患有呼吸障碍和胸痛的案例介绍.
- 临床检查,血液检查 (包括D-二次体),心电图 (ECG) 和计算机断层扫描肺血管图 (CTPA).
主要成果:
- 电脑心电图揭示了鼻高心率,右捆分支堵塞,以及S1Q3T3模式.
- CTPA证实了右下叶细分动脉和双边基底分支中的肺栓塞.
- 尽管D-二次体正常,初始检测不显著,但确诊PE.
结论:
- 怀疑的高指数对于诊断肺栓塞至关重要.
- 正常的D-二次体结果不应排除对PE的进一步调查.
- 开始使用低分子量肝素的快速抗凝剂,然后服用里瓦洛克萨班.
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