异常发病的双边肺静脉血栓塞
Adeel Nasrullah1, Muhammad Ibraiz Bilal2, Khalid Malik1
1Division of Pulmonology and Critical Care, Allegheny Health Network, Pittsburgh, USA.
European journal of case reports in internal medicine
|February 14, 2024
概括
肺静脉血栓塞 (PVT) 可以引起胸痛,即使没有癌症或凝血障碍. 通过CT血管图的早期诊断和用抗凝剂治疗是管理这种罕见疾病的关键.
科学领域:
- 心脏病学 心脏病学
- 放射学 放射学是指放射学
- 血液学 血液学 血液学
背景情况:
- 肺静脉血栓症 (PVT) 是一种罕见的疾病.
- 它可以呈现非特异性症状,如胸痛.
- 患有深静脉血栓形成史的患者有更高的风险.
研究的目的:
- 报告一个异常双边下方PVT病例.
- 突出PVT的诊断挑战和管理策略.
- 强调在非典型的胸痛呈现时考虑PVT的重要性.
主要方法:
- 一名52岁的女性患者有慢性淋巴和深静脉血栓形成史,出现胸痛.
- CT血管图用延迟对比时间被用于诊断.
- 进行了高凝血检查和癌症查.
主要成果:
- 双边下肺静脉血栓瘤 (PVT) 被证实.
- 这种PVT是异常的,没有可识别的风险因素.
- 开始使用阿皮克萨班的全身抗凝药.
结论:
- PVT可以表现为胸痛,特别是那些有血栓史的人.
- 延迟对比度的CT血管造影对于PVT检测是有效的.
- 系统性抗凝药是有效的,但最佳剂量和持续时间需要进一步研究.
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