缺血性脑卒中中血栓溶解的罕见病例,同时有穿孔的十二指甲状腺
Rositsa Gancheva Krasteva1,2, Tsanko I Yotsov2,3, Kristina K Stancheva1
1Department of Neurology, University Multiprofile Hospital for Active Treatment MEDIKA, Ruse 7000, Bulgaria.
Journal of surgical case reports
|November 13, 2025
概括
这一案例研究表明,在患有穿孔性胃潰瘍的外科患者中,急性缺血性中风 (AIS) 的静脉血栓溶解成功. 这两种情况的同时治疗是可以实现的,这表明了有效的管理策略.
科学领域:
- 医学案例研究 医学案例研究
- 外科胃肠道外科手术
- 神经学 神经学
背景情况:
- 急性缺血性中风 (AIS) 在手术患者中带来了显著的死亡风险.
- 同时管理AIS与外科紧急情况 (如穿孔性胃潰瘍) 提出了临床挑战.
研究的目的:
- 展示AIS和穿孔性胃潰瘍同時管理的獨特案例.
- 评估静脉血栓溶解和手术干预在复杂的手术患者的疗效.
主要方法:
- 一名患有AIS和穿孔性胃潰瘍的患者接受了静脉血栓溶解.
- 随后的开放性手术通过切除,米库利茨胆囊整形和塞兰-斯补丁纠正了十二指甲孔.
- 手术后的并发症被保守地管理.
主要成果:
- 静脉血栓溶解对AIS有效.
- 十二指甲孔的手术修复是成功的.
- 患者经历了良好的康复,几乎完全恢复了运动功能,没有与穿孔有关的投诉.
结论:
- 这一案例凸显了联合静脉血栓溶解和手术程序的可行性,用于同时发生的AIS和穿孔性胃潰瘍.
- 这种非常规的方法可以在精选的手术患者中成功应用.
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