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一个病例报告称,经皮肤性瘤切除术后出现了败血症相关的凝血病
Juan Duan1, Tao Ye1, Yueyue Yang1
1Department of urology, 920thhospital of Joint Logistics Support Force, Kunming, PLA, China.
BMC urology
|May 28, 2024
概括
瘤切除术后的出血可能源于与败血症相关的凝血功能障碍,而不仅仅是手术因素. 识别败血症相关的凝血病对于患者的康复至关重要.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 腎臟病學 (nephrology) 是一種醫學專業.
- 关键护理医学 关键护理医学
背景情况:
- 流血是已知的瘤切除术和皮肤穿透性瘤透症的并发症.
- 传统上,手术因素与手术后出血有关.
- 这一案例突出了一个罕见的原因:与败血症相关的凝血功能障碍.
研究的目的:
- 报告一个罕见的经过 nefrostomy 的出血病例.
- 强调败血症相关凝血病在术后出血中的作用.
- 提高泌尿科医生对出血不寻常原因的认识.
主要方法:
- 一个72岁的男性患有双边尿道结石的病例介绍.
- 患者在双边nephrostomy后发生了败血症和出血.
- 诊断血管造影 (DSA) 排除了血管损伤,从而诊断出败血症相关的凝血病.
主要成果:
- 患者经历了归因于败血症相关的凝血病 (SAC/SIC) 的出血.
- 血管损伤被DSA排除在外.
- 患者在经过症状治疗后恢复良好.
结论:
- 在患有败血症和出血的患者中,即使只有轻微的凝血异常,也应考虑与败血症相关的凝血病 (SAC/SIC).
- 排除外科因素是诊断SAC/SIC的关键.
- 泌尿科医生必须在临床实践中意识到这些非手术性出血原因.
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