[正子发射断层扫描后直肠出血]
Céline Aubry1, Marie Méan1, Christel Hermann Kamani2,3,4
1Service de médecine interne, Département de médecine, Centre hospitalier universitaire vaudois, 1011 Lausanne.
这一案例凸显了18F-FDG PET-CT扫描在肝硬化和出血障碍患者中的潜在胃肠道出血风险. 仔细选择患者和遵守协议至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 放射学 放射学是一门学科.
- 内部医学 内部医学
背景情况:
- 一名60岁的男性患有酒精性肝硬化和出血风险,因胆结石胆结炎住院.
- 患者经历了诊断内镜逆行胆血管细胞造影 (ERCP) 后的上胃肠道出血.
研究的目的:
- 在患有肝硬化和出血风险因素的患者中,报告18F-FDG PET-CT后复发性直肠出血的病例.
- 讨论在18F-FDG PET-CT制备过程中给予肝素在导致出血事件中的潜在作用.
主要方法:
- 病例报告详细说明患者的临床过程,诊断程序和并发症.
- 审查18F-FDG PET-CT制备方案,包括使用肝素.
主要成果:
- 患者患有细菌病,导致18F-FDG PET-CT扫描.
- 扫描后,患者经历了显著的直肠出血,引起了对肝素诱导出血并发症的怀疑.
结论:
- 患有肝硬化和出血风险因素的患者需要仔细考虑与像18F-FDG PET-CT.等成像程序相关的出血风险.
- 氨酸在18F-FDG PET-CT制剂中的使用可能需要在凝血受损的患者中进一步调查.
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