由于肺动脉静脉形缺陷导致的危及生命的大型血栓塞:一个不常见的病例
Nguyen Lan Hieu1, Le Hoan2, Nguyen Ngoc Cuong3
1Cardiovascular Center, Hanoi Medical University Hospital, Hanoi Medical University, Ton That Tung Street, Hanoi 10000, Viet Nam.
一个罕见的大量血栓塞的病例是由肺动脉静脉形 (PAVM) 造成的. 这种沉默的发育PAVM突然出现,突出了这些血管异常的潜在危及生命的性质.
科学领域:
- 心血管医学 心血管医学
- 肺部医学 肺部医学
- 放射学 放射学是一门学科.
背景情况:
- 大规模的血栓塞是罕见的,但可能危及生命的疾病.
- 肺动脉静脉形 (PAVMs) 是肺动脉和静脉之间的异常连接,通常是先天性的.
- 未诊断的PAVMs可能会出现严重出血.
研究的目的:
- 报告一个罕见的肺动脉静脉形缺陷的次要大规模血栓塞的病例.
- 强调PAVMs的诊断挑战和临床意义.
- 强调迅速诊断和管理PAVM的重要性.
主要方法:
- 一个42岁的妇女的案例介绍,她患有大量的血栓塞.
- 身体检查,鼻镜,胸部X射线和对比增强计算机断层扫描 (CT).
- 诊断成像,以确定出血的来源.
主要成果:
- 在右上叶发现了一个1.2 × 1厘米的肺动脉静脉形 (PAVM).
- PAVM是由一个3.5mm的前段肺动脉供应的.
- 患者出现了急性,大规模的血栓塞,没有先前的症状.
结论:
- 肺动脉静脉形形可以出现突然的,大规模的血栓塞.
- 通过先进成像进行早期诊断对于有效的管理至关重要.
- 即使是无声的PAVM,也会带来严重的危及生命的出血风险.
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