相关实验视频
Updated: Jun 17, 2025

06:33
Massive Pontine Hemorrhage by Dual Injection of Autologous Blood
Published on: May 29, 2021
4.1K
扩散气膜出血:一种罕见的,危及生命的大规模血的原因
Amy E Hunt1, Jessica Sop1, Jarrod Kahre1
1Emergency Medicine, Charleston Area Medical Center, Charleston, USA.
Cureus
|August 12, 2024
概括
扩散膜出血 (DAH) 是一种严重的疾病,导致肺部大量出血. 这一案例凸显了尽管采取了积极的医疗干预措施,但病情的快速进展和致命的结局.
科学领域:
- 肺部病理学 肺部病理学
- 关键护理医学 关键护理医学
- 病理学 病理学 病理学
背景情况:
- 扩散膜出血 (DAH) 是一种危及生命的疾病,其特点是肺膜出血.
- 它可以表现为严重的呼吸困扰,血和贫血,通常需要密集管理.
- 及时诊断和干预对于患者的治疗结果至关重要.
研究的目的:
- 报告一个DAH病例,呈现出大规模的血和气道损害.
- 为了说明管理这种迅速恶化的状况所面临的挑战.
- 强调需要积极和及时的治疗策略.
主要方法:
- 一份病例报告详细介绍了一名以前健康的33岁女性,急性出现呼吸障碍,胸痛和大规模血栓塞.
- 诊断程序包括支气管镜检查,这证实了DAH.
- 治疗干预包括机械通风,抗生素,类固醇,血液制品 (FFP,冷沉积物),胺酸 (TXA) 和体外膜氧化 (ECMO).
主要成果:
- 患者经历了迫在眉的呼吸衰竭,需要机械通风.
- 支气管镜检查证实了扩散膜出血.
- 尽管采取了包括ECMO在内的最大限度的生命维持措施,但患者在呈现后48小时内死亡.
结论:
- 这一案例强调了DAH的攻击性和经常致命的性质.
- 在DAH病例中,快速诊断和积极的治疗是至关重要的.
- 这一案例凸显了当前对突发性DAH的干预措施的局限性.
相关概念视频
Acute Respiratory Failure-II
192
Type I Respiratory Failure, or hypoxemic respiratory failure, occurs when the partial pressure of oxygen (PaO2) in arterial blood falls below 60 mmHg while breathing room air without a corresponding increase in arterial carbon dioxide levels (PaCO2). This condition highlights a significant impairment in the lungs' capacity to oxygenate the blood.
The underlying physiological abnormalities that contribute to hypoxemic respiratory failure include:
The underlying physiological abnormalities that contribute to hypoxemic respiratory failure include:
192
Pneumothorax-I
186
A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
186
Pneumothorax-II
129
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
129
Pulmonary Tuberculosis I
227
Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
227
Acute Respiratory Failure-I
184
Acute respiratory failure is a condition characterized by the inability of the lungs to perform their primary function: gas exchange. This failure leads to insufficient oxygen levels (hypoxemia) in the blood, elevated carbon dioxide levels (hypercapnia), or both, causing critical impairment in organ function.
Definition: It is defined by specific criteria based on blood gas measurements. Hypoxemia happens when the partial pressure of oxygen (PaO2) falls below 60 mmHg. At the same time,...
Definition: It is defined by specific criteria based on blood gas measurements. Hypoxemia happens when the partial pressure of oxygen (PaO2) falls below 60 mmHg. At the same time,...
184
Other Pulmonary Disorders
809
Respiratory disorders encompass a range of conditions with varying levels of severity. Asthma, marked by chronic airway inflammation and hypersensitivity, is one such condition. It can lead to airway obstruction due to factors like bronchial spasms, mucosal edema, increased mucus secretion, or epithelial damage. Asthma triggers are diverse, ranging from allergens to emotional upset, and treatment focuses on both immediate relief through bronchodilators and long-term inflammation suppression.
809

