妊娠中遗传性血管,并发症上肢深静脉血栓症:一个病例报告
Devon H Newton1, Alexandria L Betit1, Roshni B Patel1
1Medical Student, Alabama College of Osteopathic Medicine, Dothan, USA.
Cureus
|October 7, 2024
概括
在怀孕期间遗传性血管 (HAE) 可能导致静脉血栓塞栓症 (VTE). 这一案例突显了使用外围IVs而不是中央线路的成功管理,提高了孕妇HAE患者的安全性.
科学领域:
- 医学案例报告 病例报告
- 血液学 血液学 血液学
- 免疫学 免疫学 免疫学
背景情况:
- 遗传性血管炎 (HAE) 是一种罕见的遗传性疾病,其特点是经常出现发作.
- C1雌激酶抑制剂基因 (C1-INH) 突变是HAE的主要原因.
- 并发症包括肠道阻塞,窒息和静脉血栓栓塞 (VTE).
研究的目的:
- 在怀孕期间报告HAE与VTE病例.
- 在孕妇患者中展示HAE并发症的有效管理策略.
- 强调在孕妇HAE患者中考虑VTE的重要性,并评估PICC线路安全性.
主要方法:
- 一个34岁怀孕患者的案例研究HAE呈现上肢VTE.
- 治疗包括 Lovenox 治疗,PICC 线去除,并通过外围IV继续 HAE 治疗.
- 临床监测血管和VTE复发.
主要成果:
- 患者的静脉动脉和血管症状随着实施的治疗计划而消失.
- 在怀孕的剩余时间里,没有进一步的VTE或血管发作.
- 周围IV输液在HAE治疗中被证明是有效的,没有并发症.
结论:
- 周围IV线可能是PICC线对孕妇HAE患者药物输注的更安全的替代品.
- 在孕妇患有HAE并呈现胀的患者的差异诊断中,VTE应该是关键考虑因素.
- 有效管理HAE及其并发症可以导致怀孕的良好结果.
相关概念视频
Venous Thrombosis I: Introduction
3
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...
3
Venous Thrombosis IV: Nursing Management
3
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
3
Venous Thrombosis III: Interprofessional Care
3
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...
3
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
3
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
3
Assessment of the Cardiovascular System III: Palpation
203
Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
203
Peripheral Artery Disease V: Postoperative Nursing Management
4
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...
4


