阴囊内血瘤:是输穿皮冠状动脉干预的罕见并发症
Jaafar S Aldoori1, Araz Abdulfaraj2, Shahla M S Rasul3
1Department of Cardiology, Slemani Cardiac Hospital (SCH), Qanat Street, Sulaymaniyah, Kurdistan Region, 46001, Iraq. jaafar_aldorii@yahoo.com.
概括
阴囊血液瘤是经过输血性心脏导管治疗后的一种罕见的出血并发症. 这一案例强调了保守的管理作为这种不常见的表现的有效治疗方法.
科学领域:
- 心脏病学 心脏病学
- 血管外科 血管外科
背景情况:
- 穿越股骨心脏导管可以导致在接入部位出现出血并发症.
- 常见的并发症包括 inguinal 血瘤, 伪动脉瘤, 动脉静脉, 和 retroperitoneal 血瘤.
- 阴囊血瘤是这些出血并发症的一个非常罕见的表现.
研究的目的:
- 为了报告一个罕见的阴囊血液瘤的病例,该病例是在输血腔心脏导管术后发生的.
- 讨论这种罕见并发症的临床表现和管理.
主要方法:
- 一名63岁的男性有冠状动脉旁路手术史,接受了穿皮冠状动脉干预.
- 这项手术采用了骨转移的方法.
- 移除大腿之后,出现了大阴囊血液瘤和血液动力学不稳定.
主要成果:
- 患者在手术后几个小时内出现了显著的阴囊血液瘤和血液动力学恶化.
- 保守的管理,包括监测和支持性护理,导致了成功的解决方案.
- 患者在3天内出院,病情稳定.
结论:
- 阴囊血液瘤是一种罕见的,但在输血性心脏导管术后可能出现的出血并发症.
- 保守的管理通常是有效的阴囊血液瘤.
- 这种情况很少需要手术干预.
相关概念视频
Veins of the Abdomen and Pelvis
The human body is a complex system of interconnected parts, and the circulatory system plays a crucial role in maintaining overall health. One key component of this system is the inferior vena cava, a large vein responsible for returning blood from the abdominopelvic viscera and abdominal walls to the heart.
The inferior vena cava is fed by numerous smaller veins. The lumbar veins, for instance, drain the posterior abdominal wall, emptying both directly into the inferior vena cava and into the...
The inferior vena cava is fed by numerous smaller veins. The lumbar veins, for instance, drain the posterior abdominal wall, emptying both directly into the inferior vena cava and into the...
Esophageal Varices-II: Clinical Features and Management
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol abuse, or...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol abuse, or...
Peripheral Artery Disease V: Postoperative Nursing Management
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
Aneurysm III: Interprofessional Care
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
Venous Thrombosis I: Introduction
Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
Venous Thrombosis III: Interprofessional Care
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...


