穿皮冠状动脉干预 (PCI) 后的溶血性贫血:一个病例报告
Yu Zhang1, An Fuxiang1, Meizhu Yan1,2
1Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, 250021, PR China.
Heliyon
|November 11, 2024
概括
本案例研究突出了一个罕见的经皮冠状动脉干预 (PCI) 后溶血性贫血病例. 早期诊断和治疗对于PCI后患有贫血的患者至关重要,这将其与胃肠道出血区分开来.
科学领域:
- 心脏病学 心脏病学
- 血液学 血液学 血液学
- 干预心脏病学 干预心脏病学
背景情况:
- 心血管干预后,血管内血解是不常见的.
- 关于血液溶解的报道存在于各种程序,如TAVI,TMVR和PCI与Impella.
- 没有先前的报告记录了皮肤穿刺冠状动脉干预 (PCI) 后的血液溶解.
研究的目的:
- 报告PCI后罕见的血液溶解病例.
- 强调在PCI后的患者中诊断血液溶解性贫血 (HA) 的重要性.
- 提高对HA作为PCI潜在并发症的临床意识.
主要方法:
- 一份病例报告显示,一名42岁的男性患者在PCI后出现深棕色尿液.
- 诊断评估包括检测红细胞 (RBC) 和血红蛋白 (Hb) 水平的血液测试.
- 治疗包括输血,甲和重复的PCI.
主要成果:
- 患者表现出红血细胞和Hb水平的降低,表明血液溶解.
- 诊断出血液溶解性贫血 (HA),不同于疑似胃肠道出血 (GIB).
- 患者在输血和医疗治疗后恢复过来.
结论:
- 溶血性贫血 (HA) 是通过皮肤冠状动脉干预 (PCI) 后的一种罕见但潜在的并发症.
- 区分HA和GIB对于PCI后适当的患者管理至关重要.
- 早期识别和治疗HA对于患者的治疗结果至关重要.
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