相关实验视频
Updated: Jan 18, 2026

06:31
Transuterine Fetal Tracheal Occlusion Model in Mice
Published on: February 5, 2021
3.5K
一个早产婴儿的腹腔动脉血栓与先天性隔膜的先天性隔膜
Vivek Goyal1, Neha Jain1, Monica Goyal2
1Pediatrics and Neonatology, Janki Children Hospital, Hisar, IND.
Cureus
|September 9, 2025
概括
在早产双胞胎的先天性隔膜 (CDH) 可以导致严重的并发症,如血栓在动脉导管 (UAC) 放置后. 早期的抗凝治疗对于管理这些血管事件和改善结果至关重要.
科学领域:
- 新生儿医学 新生儿医学
- 儿科手术 儿科手术
- 血管并发症 血管并发症
背景情况:
- 先天性隔膜 (CDH) 是一种严重的异常,与肺部低血和新生儿持续性肺高血压 (PPHN) 有关.
- 动脉导管 (UAC) 在新生儿重症监护中至关重要,但会带来血管并发症的风险,包括血栓塞栓症.
- 在CDH病例中,新生儿结局受到相关的并发症和阳性并发症的显著影响.
研究的目的:
- 在CDH早产新生儿中报告一种罕见的广泛的 iliofemoral 和动脉血栓症.
- 突出与UAC安置相关的潜在血管并发症,在患有CDH的重症新生儿中.
- 讨论这种高风险新生儿群体中血栓形成的管理和结果.
主要方法:
- 一个早产二二子 (DCDA) 双胞胎的病例报告,与产前诊断的CDH.
- 管理包括高频振荡式通风 (HFOV),吸入的氧化 (iNO),西尔德纳菲尔,内的支持和UAC放置.
- 手术 CDH 修复,随后诊断和治疗术后血栓与肝素和乙氧沙.
主要成果:
- 新生儿出现了严重的呼吸困扰和血液动力学不稳定,需要进行密集护理干预,包括UAC安置.
- 在术后,患者经历了 iliofemoral 和动脉血栓形成,导致左梗塞.
- 使用氨酸和氨酸的抗凝血疗法导致显著的临床改善,婴儿在稳定状态下出院,右功能得到保护.
结论:
- 患有CDH的新生儿的动脉导管治疗对血栓栓塞事件具有重大风险.
- 及时诊断和有效的抗凝药对于管理新生儿血栓形成和预防末端器官损伤至关重要.
- 这一案例强调了在接受侵入性手术的重症新生儿中对血管并发症的警监测的重要性.
相关概念视频
Aneurysm II: Clinical Manifestations and Diagnostic Studies
308
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
308
Aneurysm III: Interprofessional Care
257
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
257
Aneurysm I: Introduction
372
An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
372
Abdominal Aorta
2.1K
Once the aorta traverses the diaphragmatic plane at the aortic hiatus, it is known as the abdominal aorta. This anatomical structure is positioned leftward of the spinal column, encased within a cocoon of adipose tissue behind the peritoneal cavity. It terminates at the L4 vertebra, where it splits into the common iliac arteries. Prior to this bifurcation, the abdominal aorta gives rise to several vital branches.
The celiac trunk, a singular artery, divides into the left gastric artery, which...
The celiac trunk, a singular artery, divides into the left gastric artery, which...
2.1K

