在双边大动脉-阴道支架血栓形成后的急性脏病发作
Beatriz Chambino1, Cláudio Gouveia2, Cristiana Camacho2
1Internal Medicine, Hospital São Francisco Xavier, Lisbon, PRT.
Cureus
|March 1, 2024
概括
由于脏血液供应受损而引起的脏梗塞是一种罕见但严重的疾病. 通过CT血管造影早期诊断对于及时治疗和改善结果至关重要.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 血管外科 血管外科
- 放射学 放射学是一门学科.
背景情况:
- 脏梗塞虽然不常见,但由于动脉血液供应中断,导致脏组织死亡和功能丧失.
- 治疗脏梗塞的疗效非常敏感,需要及时诊断和干预.
研究的目的:
- 为了呈现慢性支架血栓形成后的脏梗塞病例.
- 强调早期临床怀疑和诊断性成像对于脏梗塞的重要性.
- 讨论延迟诊断对脏病发作治疗选择的影响.
主要方法:
- 一个女性患者的病例报告,有双边大动脉-阴茎支架的病史.
- 临床表现包括胸痛,心,呼吸障碍和高血压.
- 诊断工作包括腹部CT血管造影,以评估动脉通透率.
主要成果:
- 患者经历了功能和无尿症的急性恶化,需要进行替代疗法.
- 腹部CT血管造影揭示了双边大动脉-阴茎支架的慢性血栓形成和右动脉的急性阻塞.
- CT扫描是在入院后72小时内进行的,由于时间的流逝,排除了再注血治疗.
结论:
- 这一案例强调了全面的临床病史和风险因素评估在怀疑脏病发作中的关键作用.
- 早期的对比增强CT血管造影对于及时诊断和适当管理脏病发作至关重要.
- 延迟诊断显著影响急性脏梗塞的再注血疗法的可行性.
关键词:
腹部CT血管造影 - - 腹部CT血管造影大动脉-阴茎支架 (aortic-iliac stent) 是一种动脉支架.高血压是因为高血压.发性综合征的发生动脉中风 动脉中风 动脉中风持续的低效率透析.更多相关视频
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