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肺栓塞伪装成急性腹痛:一种罕见且具有挑战性的诊断
Fatema Jamsheer1, Njood Alsudairy2
1General Practice, Salmaniya Medical Complex, Manama, BHR.
Cureus
|December 30, 2024
概括
肺栓塞 (PE) 可以呈现为严重的腹痛,模仿胃肠道问题. 及时诊断和抗凝药对于管理这种可能致命的疾病至关重要,即使没有典型的呼吸道症状.
科学领域:
- 医学 医学 医学 医学 医学
- 心脏病学 心脏病学
- 放射学 放射学是一门学科.
背景情况:
- 肺栓塞 (PE) 是一种危及生命的疾病,具有不同的临床表现.
- 非典型的表现,如孤立的腹痛,可以推迟诊断.
研究的目的:
- 报告一个肺栓塞病例,只表现为急性腹痛.
- 强调在患有无法解释的腹部症状和D-二次数升高的患者中考虑PE的重要性.
主要方法:
- 一个47岁的妇女的病例报告,急性右上象限腹部疼痛.
- 最初的调查包括腹部超声波和CT,其次是CT肺血管造影.
- 诊断工作包括D-二聚合物水平和血栓友爱查.
主要成果:
- CT肺血管造影证实双边肺栓塞在一个患者呈现与孤立的腹痛.
- 抗凝固疗法导致症状迅速消失,并在随访成像时完全消除栓塞.
- 血栓友爱查结果是负的.
结论:
- 肺栓塞可以表现为孤立的腹痛,造成诊断挑战.
- 高可疑指数和系统的诊断方法对于及时诊断PE至关重要.
- 早期的抗凝治疗对于PE患者的良好结果至关重要.
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