应对延迟下皮出血和COVID-19的挑战:一个案例报告
Saleh S Al Qahtani1,2, Dunya Alfaraj3,2, Mohammed O Alzayer2
1Internal Medicine Department, Najran University Hospital, Najran, SAU.
Cureus
|March 27, 2024
概括
延迟的体外出血 (SDH) 可能在头部创伤后微妙地出现. 这一案例凸显了延迟SDH的监测的重要性,即使没有初始症状,也能迅速进行神经外科干预和完全康复.
科学领域:
- 神经外科 神经外科
- 创伤外科 手术 创伤外科
- 神经学 神经学
背景情况:
- 延迟发作的创伤后体外出血 (SDH) 呈现出非特异性症状,使诊断复杂化.
- 预先存在的风险因素和并发症可能会增加对SDH的倾向.
- 最初的表现可能缺乏出血的临床或放射性迹象.
研究的目的:
- 报告延迟创伤后体内出血 (SDH) 的情况.
- 强调在特定患者群体中对延迟SDH的警监测的重要性.
- 在患有并发病理的患者中倡导个性化治疗方法.
主要方法:
- 一个61岁的女性患者在创伤性跌倒后的病例报告.
- 诊断成像 (CT/MRI) 用于识别体内出血.
- 紧急的神经外科干预,包括双边孔和皮肤下下水道.
- 同时感染SARS-CoV-2和高血压的医疗管理.
主要成果:
- 一名61岁的女性在创伤后三周出现了双边急性-慢性腹腔内出血.
- 患者表现为精神状态改变,头痛和吐.
- 神经外科排水和医疗管理导致了显著的神经改善和完全的认知恢复.
- 随访成像证实了下皮层出血的完全消失.
结论:
- 对延迟SDH的警监测至关重要,特别是在没有初始放射性发现的患者中.
- 快速识别和及时的神经外科管理对于优化结果至关重要.
- 对于患有并发疾病的患者,需要个性化治疗策略.
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