右心室穿孔,对肋间动脉造成阴性损伤,导致心脏起器植入器后的血胸
Anna Björkenheim1, Torbjörn Kalm2, Mats Lidén3
1Department of Cardiology, School of Medical Sciences Campus USÖ, Örebro, Sweden anna.bjorkenheim@regionorebrolan.se.
BMJ case reports
|February 8, 2024
概括
心脏起器的穿孔可能会导致严重的胸部出血 (血胸). 通过CT扫描进行早期诊断和迅速的心胸外科手术对于管理这种危及生命的并发症至关重要.
科学领域:
- 心脏病学 心脏病学
- 心胸外科手术 心胸外科手术
- 医疗成像医学成像
背景情况:
- 心脏起器植入是一种常见的程序,但存在并发症的风险.
- 亚急性穿孔是一种罕见但严重的并发症.
- 邻近的血管结构的阳性损伤会导致严重的出血.
研究的目的:
- 报告一种罕见但危及生命的节拍器植入的并发症.
- 突出及时诊断和管理的重要性.
- 强调高级成像和手术干预的作用.
主要方法:
- 一个患有心脏起器穿孔的病人的病例报告.
- 诊断通过CT扫描证实,显示有活跃出血.
- 管理涉及心胸外科手术 (中枢骨切除术).
主要成果:
- 成功封闭出血的肋间动脉.
- 放置一个新的心上节拍器引领.
- 提取穿孔的. 提取穿孔的.
结论:
- 心脏起器的穿孔可能导致显著的出血 (血胸).
- 及时识别和干预,包括心胸外科手术,至关重要.
- 脑电图扫描和心脏起器审讯是有价值的诊断工具.
相关概念视频
Esophageal Perforation-I: Introduction
95
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
95
Esophageal Perforation-II: Clinical Manifestations and Management
64
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
64
Pneumothorax-I
208
A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
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