在体外血动力学支持后产周腹腔综合征
Violetta Lozovyy1, Fawzi Saoud1, Luis D Pacheco1,2
1Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, The University of Texas Medical Branch, Galveston, Texas.
AJP reports
|January 25, 2024
概括
在怀孕期间大规模的肺栓塞可能会导致腹腔外血动力学支持手术后的腹腔外出出血和腹腔综合征. 这种罕见的并发症需要迅速的手术干预.
科学领域:
- 心脏病学 心脏病学
- 产科 产科 产科 产科 产科
- 关键护理医学 关键护理医学
背景情况:
- 大规模肺栓塞 (PE) 带来重大风险,特别是在怀孕期间.
- 在PE治疗中使用的抗凝血药和血栓抑制药可以增加出血风险.
- 身体外血动力学支持对于巨大的PE至关重要,但会带来程序性风险.
研究的目的:
- 为了突出一种罕见但严重的并发症,在怀孕期间治疗大量PE.
- 为了强调血动力学支持的血管管与逆皮质出血之间的关联.
- 讨论腹部部位综合征 (ACS) 的发展,其次是背骨外皮出血.
主要方法:
- 一个27岁的孕妇 (33周怀孕) 患有巨大的PE的案例报告.
- 治疗包括抗凝剂,血栓抑制剂 (组织等离子素激活剂),机械血栓切除术和静脉动脉膜氧化.
- 监测并发症,包括出血和血液动力学变化.
主要成果:
- 患者在血栓切除术期间心脏骤停,需要复苏和死前剖腹产.
- 在手术后,她需要静脉动脉膜氧化,以治疗右心室衰竭.
- 管注射后6小时,腹部部位综合征由于后出血而发展,需要进行外科手术.
结论:
- 在大量PE患者的体外血动力学支持下,血管管治疗后,可以发生逆皮层出血和随后的ACS.
- 这种并发症在接受抗凝血剂和血栓抑制剂的孕妇中尤其令人担忧.
- 早期识别和手术治疗对于ACS二次于尾内出血至关重要.
更多相关视频
00:20A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing
Published on: July 4, 2019
51.3K
06:10Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
Published on: June 12, 2021
3.3K
相关概念视频
01:26Flail Chest-II
172
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
172
01:24Blood Pressure Imbalances and Circulatory Shock
778
Disorders affecting blood volume, vascular tone, or vascular function can disrupt vascular homeostasis, including conditions like hypertension, hemorrhage, and shock.
Blood Pressure: Hypertension and Hypotension
Normal blood pressure is 120/80 mm Hg. Elevated blood pressure is 120-129/under 80 mm Hg. Hypertension, warranting treatment at 130/80 mm Hg, is often asymptomatic and can lead to severe cardiovascular events, aneurysms, peripheral arterial disease, chronic renal disease, or cardiac...
Blood Pressure: Hypertension and Hypotension
Normal blood pressure is 120/80 mm Hg. Elevated blood pressure is 120-129/under 80 mm Hg. Hypertension, warranting treatment at 130/80 mm Hg, is often asymptomatic and can lead to severe cardiovascular events, aneurysms, peripheral arterial disease, chronic renal disease, or cardiac...
778