肺栓塞:是内镜治疗水的一个并发症
Gerardo Diaz Garcia1, Leela Krishna Teja Boppana2, Christopher Izzo2
1Internal Medicine, University of Florida College of Medicine, Jacksonville, Florida, USA gerardo.diazgarcia@jax.ufl.edu.
BMJ case reports
|January 22, 2025
概括
烯酸盐注射有效治疗胃静脉,但很少会导致肺栓塞. 这一案例凸显了这种罕见并发症的诊断挑战和成功的支持性护理.
科学领域:
- 胃肠病学 胃肠病学
- 干预性内镜检查是干预性的内镜检查.
- 肺部病理学 肺部病理学
背景情况:
- 胃静脉 (GVs) 是门高血压的严重并发症,携带出血和死亡的高风险.
- 室内注射的蓝烯酸盐注射是GVs的主要治疗方法,在预防再出血方面具有很高的疗效.
- 肺栓塞 (PE) 来自烯酸迁移是一种罕见但显著的并发症.
研究的目的:
- 报告一个肺栓塞病例后,内镜注射烯酸用于胃变节.
- 讨论诊断挑战和烯酸诱导的PE的管理.
- 为了强调识别这种罕见并发症的重要性.
主要方法:
- 一个病例介绍了一名肝硬化和孤立的胃静脉瘤患者.
- 烯酸内镜注射过程.
- 诊断工作包括CT胸部成像.
- 临床管理与支持性护理.
主要成果:
- 患者在手术后出现了胸部多性疼痛和血.
- 胸部CT检查证实了肺动脉中的烯酸粘合剂栓塞.
- 症状通过支持性护理和监测得到缓解.
结论:
- 用于胃静脉的烯酸盐注射可以导致肺栓塞.
- 由于粘合剂的放射性不透明性质,诊断可能具有挑战性.
- 支持性护理是有效的管理这种罕见的并发症.
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