在对比剂注射后自发性气栓塞:在COVID-19后患者的诊断挑战
Raed Al Yacoub1, Michael Ladna1, Zaid Al-Radideh2
1Internal Medicine, University of Florida College of Medicine, Gainesville, USA.
Cureus
|September 23, 2024
概括
一个罕见的空气栓塞病例发生在一个患有COVID-19病史的患者身上. 及时识别和支持性护理,包括氧气,对于稳定和恢复至关重要.
科学领域:
- 心脏病学 心脏病学
- 肺部病理学 肺部病理学
- 放射学 放射学是一门学科.
背景情况:
- 一名72岁的男性患有严重的并发症,出现呼吸短促和胸痛.
- 该患者最近患有COVID-19感染,慢性阻塞性肺病 (COPD),高血压和心房动.
研究的目的:
- 报告一个罕见的空气栓塞病例,患者有复杂的病史和最近的COVID-19感染.
- 突出考虑气栓塞的阳性原因的重要性,特别是成像期间的对比注射.
主要方法:
- 进行胸部计算机断层扫描血管图 (CTA) 来评估患者的症状.
- 患者经过重新定位到仰卧姿势和100%氧气的管理.
主要成果:
- CTA显示了主要肺动脉和右心室中小到中等体积的气栓塞.
- 没有发现肺栓塞的证据.
- 患者的病情随着重点关注COPD恶化管理的支持性护理而改善.
结论:
- 自发的气栓塞,特别是在没有先前仪器的COVID-19后患者中,是非常罕见的.
- 迅速识别和管理气栓塞对于预防危及生命的并发症至关重要.
- 在差异诊断中,应考虑具有阳性因子的原因,例如CT扫描期间的对比注射.
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