在阳性心脏吸管中注射心脏内血栓:一个病例报告
Juana Perez Morales1, Ana Spaccavento1, Santiago Ordoñez1
1Department of Cardiology at Instituto Cardiovascular de Buenos Aires, Av. del Libertador 6302, 1428, Buenos Aires, Argentina.
概括
通过皮肤手术产生的阳性心脏吸管可能会危及生命. 在具有高手术风险的血液动力学不稳定的患者中,当心周缩不足时,心周内血栓激素可能达到血静.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 在瘤学瘤学.
背景情况:
- 穿皮手术的数量越来越多,导致潜在的并发症,如心脏栓塞.
- 心脏吸管,虽然很少见,但由于血液动力学不稳定性,可能会危及生命.
- 标准心脉缩可能无法实现静血,需要使用替代策略.
研究的目的:
- 报告在内心肌活检后发生的阳性心脏栓塞病例.
- 评估心脏内血栓凝血素在高手术风险的血液动力学不稳定患者中实现血液静止的疗效.
主要方法:
- 一个病例报告,一个89岁的黑色素瘤患者接受了 pembrolizumab治疗.
- 在内心肌活检后诊断出阳性心脏坦波纳,导致血液动力学不稳定.
- 管理涉及心周排水,其次是用于血液静止的心周内血栓注射.
主要成果:
- 患者在剖腹产检查后出现了阳性心脏栓塞和血液动力学不稳定性.
- 周心排水提供了暂时的缓解,但不稳定性持续存在.
- 在这位高风险患者中,心内周心血栓成功实现了血液静止.
结论:
- 创血性心脏吸管是穿皮干预的严重并发症.
- 在血液动力学不稳定性和高手术风险的特定情况下,心内周心血栓可能是稳定血液的可行选择.
- 需要进行进一步的研究,以建立心脏坦波纳德管理中的心脏周周内血栓激素的证据基础.
相关概念视频
Pericarditis I: Introduction
Pericarditis is defined as the inflammation of the pericardium, the thin, sac-like membrane surrounding the heart. This condition can cause significant chest pain and other symptoms, often necessitating medical intervention. The pericardium has two layers: the inner visceral layer and the outer parietal layer, separated by a small amount of fluid that reduces friction during heartbeats.Types of PericarditisPericarditis can be classified into several types based on the duration and nature of the...
Pericarditis II: Clinical Features and Diagnostic Tests
Pericarditis is distinguished by inflammation of the pericardium, the fibrous sac that encases the heart. It can be acute, lasting less than six weeks, or chronic, persisting for over three months. Understanding its clinical manifestations and diagnostic findings is crucial for timely and effective management.Clinical ManifestationsWhile pericarditis can be asymptomatic, it usually presents with characteristic symptoms such as:Chest Pain: The most characteristic symptom of pericarditis is chest...
Pericarditis III: Medical Management
The primary objectives of managing pericarditis are to determine the underlying cause, provide effective therapy for treatment and symptom relief, and promptly detect signs and symptoms of cardiac tamponade. The following outlines the essential aspects of medical management for pericarditis:ObjectivesDetermine the Cause: Identifying the underlying cause of pericarditis is crucial for targeted treatment. Causes include viral infections, autoimmune diseases, post-cardiac injury syndrome, and...
Pericarditis IV: Nursing Management
Pericarditis, an inflammation of the pericardium, necessitates diligent nursing management to ensure effective patient care and recovery. The initial step in managing pericarditis is a comprehensive patient medical assessment.The patient reports chest pain aggravated by breathing, coughing, and swallowing, which worsens when lying supine. The pain often improves when sitting up and leaning forward. Additional symptoms may include fever, malaise, and, in severe cases, signs of heart failure.


