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肺栓塞呈现为肩膀和背部疼痛:一个病例报告
Chukwuemeka Nwaneri1, Rebecca Race1, Romoluwa Oladele2
1Emergency Medicine Department, Shrewsbury and Telford NHS Trust, The Royal Shrewsbury Hospital, Shrewsbury, GBR.
Cureus
|August 7, 2024
概括
肺栓塞 (PE) 可以出现罕见的症状,如肩膀和背部疼痛,具有挑战性的诊断. 识别这些非典型症状对于及时治疗和降低患者死亡率至关重要.
科学领域:
- 医学 医学 医学 医学 医学
- 心脏病学 心脏病学
- 肺部病理学 肺部病理学
背景情况:
- 肺栓塞 (PE) 是一种常见且危及生命的疾病.
- 诊断PE可能很困难,特别是在缺乏经典症状的非典型表现时,如胸痛,呼吸不全或心动减速等.
- 罕见的症状,如肩膀和背部疼痛,往往被忽视,导致诊断延迟.
研究的目的:
- 突出肩膀和背部疼痛作为肺栓塞的一个非典型的症状.
- 强调识别罕见症状的重要性,以减少误诊和改善患者的治疗结果.
- 报告一个PE病例,呈现左肩和左侧性背部疼痛后镜尼森基底复合.
主要方法:
- 病例报告详细介绍患者的介绍和诊断过程.
- 对非典型PE症状患者的诊断挑战的审查.
- 在急诊室和急性医疗病房的临床管理.
主要成果:
- 这位患者在腹腔镜尼森基囊复合后13天出现左肩和左侧性背痛.
- 这位患者被诊断为左侧肺栓塞.
- 在急诊室开始及时诊断和管理.
结论:
- 肩膀和背部疼痛可能是肺栓塞的重要,尽管很少见的指标.
- 提高对非典型PE症状的认识对于减少诊断错误和改善患者存活率至关重要.
- 即使有不寻常的表现,迅速识别和管理PE对于有利的结果至关重要.
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