一个26岁的初怀孕妇女出现了腹部皮肤困住综合征:一个病例报告
Melaku Tsediew Berhanu1, Molla Asnake Kebede2, Adamu Tigabu Tessfaw3
1Emergency Department, school of medicine, College of Medicine and Health science, Mizan Tepi university, Mizan Aman, Ethiopia.
International journal of emergency medicine
|September 28, 2024
概括
腹部皮肤神经被困综合征 (ACNES) 是妊娠中慢性腹痛的罕见原因. 这一案例突出了ACNES的诊断和在紧急情况下用利多卡因和德克萨米他松注射的成功治疗.
科学领域:
- 神经学 神经学
- 产科 产科 产科 产科 产科
- 紧急医疗 紧急医疗
背景情况:
- 腹部皮肤神经被困综合征 (ACNES) 导致神经被困导致严重的慢性腹部疼痛.
- 是一种罕见的与怀孕有关的神经病变,在腹部疼痛的差异诊断中经常被忽视.
- 缺乏医生的接触导致诊断延迟,不必要的测试和患者的痛苦.
研究的目的:
- 描述一个罕见的孕妇中ACNES病例.
- 突出ACNES作为一个经常被忽视的原因,在怀孕期间的腹痛.
- 协助在资源有限的急诊室的患者管理.
主要方法:
- 一个26岁的初怀孕在她的第二个三个月呈现了持续的右上象限腹部疼痛.
- 最初的评估,包括重复访问医院,没有诊断.
- 在经过彻底的病史,体检和负诊断测试后,考虑诊断ACNES.
主要成果:
- 进行了一种修改后的技术,涉及将利多卡因和德克萨米他松透到 Fascial 平面.
- 患者报告说,注射后疼痛明显改善.
- 这种干预措施缓解了耐火性腹痛.
结论:
- 是怀孕期间腹部疼痛的一个重要考虑因素.
- 早期识别和有针对性的治疗可以缓解ACNES症状.
- 这一案例证明了在紧急情况下ACNES的成功管理.
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