外周麻醉后的血小结症:一种罕见的并发症,具有假定的多因素和神秘病因
Gabriela Camelia Roşu1, Ionica Pirici, Andrei Osman
1Department of Anatomy and Embryology, University of Medicine and Pharmacy of Craiova, Romania; ionica.pirici@umfcv.ro; Department of Histology, Faculty of Medicine, University of Medicine and Pharmacy of Craiova, Romania; ilona.mihaela.liliac@gmail.com.
概括
脊柱亚结膜下垂体出血 (SSAH) 和脊柱血瘤是罕见但严重的并发症,通常与抗凝剂使用有关. 这项研究回顾了文献,并介绍了在服用抗凝药的患者中出现SSAH的病例.
科学领域:
- 神经学 神经学
- 麻醉学 麻醉学
- 血液学 血液学 血液学
背景情况:
- 脊柱下关节出血 (SSAH) 和脊柱血瘤是脊柱手术的罕见但严重并发症.
- 危险因素包括自身免疫性疾病,凝血障碍,抗凝血剂治疗,血管形和瘤.
- 抗凝剂治疗,特别是直接的口服抗凝剂,是导致脊柱出血的重要因素.
研究的目的:
- 审查关于脊柱子下关节出血和脊柱血瘤的最新文献.
- 将现有数据与特定的临床病例进行比较.
- 为了突出抗凝剂治疗在这些并发症中的作用.
主要方法:
- 关于脊柱上下关节出血和脊柱血瘤的文献综述.
- 一个77岁的男性患者的病例研究,患有心房动,正在服用口服抗凝剂.
- 对患者SSAH和脊柱血瘤在门手术后的发展进行分析.
主要成果:
- 抗凝药治疗是脊髓出血的一个显著风险因素.
- 诊断通常基于临床表现,并通过磁共振成像 (MRI) 确认.
- 本案例说明了在服用抗凝血剂的患者中SSAH和血液瘤的潜力.
结论:
- 在患有危险因素的患者中,尤其是接受抗凝药治疗的患者,脊柱下关节出血和血液瘤需要仔细考虑.
- 通过临床评估和MRI及时诊断对于有效的管理至关重要.
- 需要进一步研究与不同抗凝剂相关的特定风险.
相关概念视频
Local Anesthetics: Clinical Application as Epidural Anesthesia
400
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
400
Esophageal Varices-I: Introduction
52
Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
52
Disorders of Hemostasis
667
Hemostasis, the process that stops bleeding after a blood vessel injury, is crucial for maintaining the integrity of the circulatory system. However, disorders of hemostasis can disrupt this delicate balance, leading to either excessive clotting or bleeding. These disorders can be broadly classified into thromboembolic disorders and bleeding disorders.
Thromboembolic Disorders
Two factors primarily cause thromboembolic conditions.
Thromboembolic Disorders
Two factors primarily cause thromboembolic conditions.
667


