在急性静脉膜血栓中阻塞性休克:一种罕见的呈现
Kirran Bakhshi1, Sashi Inkollu2,3, Rohit Sharma4
1Department of Surgery, Marshfield Medical Center, Marshfield, WI, USA bakhshi.kirran@marshfieldclinic.org.
Clinical medicine & research
|October 22, 2024
概括
下腔静脉 (IVC) 过器可能导致急性血栓形成,导致阻塞性休克和死亡. 这一案例突出了IVC过器的罕见但致命的并发症,需要临床警.
科学领域:
- 血管外科 血管外科
- 心脏病学 心脏病学
- 关键护理医学 关键护理医学
背景情况:
- 下腔静脉 (IVC) 过器用于预防肺栓塞.
- 众所周知,这些过器具有血栓性作用.
- 深静脉血栓塞 (DVT) 是IVC过器放置的常见指示.
研究的目的:
- 报告一种急性IVC过血栓的病例,呈现为阻塞性休克.
- 为了突出IVC过器的罕见且可能致命的并发症.
主要方法:
- 一个70岁的男性患者的病例报告.
- 在急性乳牛DVT时进行手术前的IVC过器放置.
- 术后监测和成像. 手术后监测和成像.
- 启动治疗性肝素化和皮肤穿透性血栓切除术.
主要成果:
- 完整的IVC闭塞尾部到过器,并延伸到双侧阴静脉.
- 阻塞性休克,低心率,低血压和下肢动脉不全的发展.
- 尽管进行了干预,但患者经历了多器官衰竭和死亡.
结论:
- 急性IVC过血栓形成可能导致阻塞性休克和死亡.
- 临床医生必须对这种IVC过器罕见的血栓性并发症保持警.
- 这一案例强调了与IVC过器放置相关的固有风险.
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