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病例报告: 输血诱导的后部可逆脑病综合征

Dillon Warr¹, Maura Sammon², Xin Zhou³

¹Emergency Medicine, Valleywise Health, United States of America.

The American journal of emergency medicine

|July 21, 2024

概括

后可逆脑病综合征 (PRES) 可以发生在输血后,即使没有严重的高血压. 紧急医生应考虑在患有慢性贫血输血后神经症状的患者中使用PRES.

科学领域:

神经学神经学
血液学血液学血液学
紧急医疗紧急医疗

背景情况:

后回性脑病综合征 (PRES) 是一种神经疾病,通常与严重高血压有关.
在接受输血的患者中,尤其是慢性贫血患者中,越来越多地发现了PRES.

研究的目的:

为了突出治疗慢性贫血的输血和PRES之间的联系.
强调在输血后的神经表现中考虑PRES的重要性,即使没有严重的高血压.

主要方法:

一个病人的病例报告显示,在输血后12天出现神经症状.
临床评估,诊断PRES和耐性非状态.

主要成果:

该患者因慢性贫血而接受输血,患有PRES和状态,只有轻度高血压.
这一案例强调了在输血治疗后,PRES可以在神经系统上表现出来.

结论:

治疗慢性贫血的输血需要谨慎,因为存在PRES的风险.
紧急医生必须将PRES纳入他们对贫血纠正后神经病情的差异诊断中,即使没有显著的高血压.

关键词:

慢性贫血症慢性贫血症在这里,我们可以看到 PRESES.后期可逆脑病症综合征后期可逆脑病症综合征输血输血输血是指输血.

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