盆腔静脉的放射性栓塞后的肺栓塞:一个病例报告
Elise Longueville1, Sandra Dury2, Julien Ancel2,3
1Department of Respiratory medicine, University Hospital of Reims, 45, rue Cognacq Jay Reims Cedex, Reims, 51092, France. elongueville@chu-reims.fr.
BMC pulmonary medicine
|July 29, 2025
概括
来自医疗的非血栓性肺栓塞 (NTPE) 可能发生在盆腔栓塞手术后. 这种罕见的并发症可能导致呼吸衰竭和二次血栓性肺栓塞,需要全面的医疗治疗.
科学领域:
- 干预性放射学 干预性放射学
- 肺部病理学 肺部病理学
- 血管外科 血管外科
背景情况:
- 非血栓性肺栓塞 (NTPE) 涉及到异物在肺部的循环.
- 粘合剂迁移到肺循环是罕见的,通常在胃肠道干预后出现.
- 严重的NTPE病例带来危及生命的风险.
研究的目的:
- 在盆腔水栓塞后报告NTPE病例.
- 突出非胃肠道干预程序中粘合剂迁移的潜力.
- 讨论粘合引起的NTPE的管理和并发症.
主要方法:
- 一个31岁的女性患者的病例介绍.
- 使用粘合剂进行盆腔静脉的放射性栓塞.
- 通过胸部CT扫描和CT血管造影来确认诊断.
- 对呼吸衰竭和治疗反应进行临床监测.
主要成果:
- 患者在手术后24小时出现呼吸衰竭.
- 胸部CTCT证实了双边栓栓塞和后来的血栓性肺栓塞.
- 用抗凝剂,抗生素,皮质类固醇和氧气治疗导致改善.
结论:
- 在使用粘合剂的任何干预程序后,包括盆腔干预后,NTPE可能会发生.
- 粘合剂诱导的NTPE可能会因二次血栓性肺栓塞而复杂.
- 快速诊断和多学科管理对于有利的结果至关重要.
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