相关实验视频
Updated: Sep 12, 2025

03:49
Application of Microwave Ablation in Laparoscopic Partial Splenectomy
Published on: November 15, 2024
271
突发的脏栓塞用于具有关键出血的耐火性免疫血小板缺血:一个病例报告
Hayabusa Takano1, Naoki Hara1, Eri Nakajima1
1Department of Critical Care and Emergency Medicine, Showa General Hospital, Tokyo, Japan.
AME case reports
|August 5, 2025
概括
紧急栓塞 (SE) 为患有严重免疫血栓塞缩症 (ITP) 的患者提供了一种安全有效的切除术替代方案,这些患者经历了危及生命的出血. 这种微创手术可以快速改善血小板数量,在危急情况下避免手术风险.
科学领域:
- 血液学 血液学 血液学
- 干预性放射学 干预性放射学
背景情况:
- 免疫性血小板缺血 (ITP) 涉及由于免疫机制导致的血小板数量低,用皮质类固醇作为第一线治疗.
- 脊髓切除术是耐火性ITP的一个选择,但在严重的血栓塞缩症中具有显著的出血风险.
- 囊栓塞 (SE) 是慢性ITP的微创替代方案,但其在急性,危及生命的出血中使用情况较少报告.
相关概念视频
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
44
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
44
Esophageal Varices-II: Clinical Features and Management
140
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
140
Venous Thrombosis III: Interprofessional Care
22
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
22
Pulmonary Embolism III: Nursing Management
41
A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
41

