[在冠状动脉血管学术后,一个患者部急性胀]
Ruben Y Gabriëls1,2, Merel van Sante1, Vincent C Cappendijk3
1Jeroen Bosch Ziekenhuis, afd. Spoedeisende Hulp, 's-Hertogenbosch.
Nederlands tijdschrift voor geneeskunde
|November 19, 2025
概括
一位患者在冠状动脉血管造影后出现了甲状腺囊出血. 这种罕见的并发症呈现为无痛的部胀,通过超声波诊断.
科学领域:
- 内分泌学 在内分泌学.
- 血管外科 血管外科
- 诊断成像 诊断成像 诊断成像
背景情况:
- 冠状动脉扫描是评估冠状动脉疾病的常见程序.
- 子胀可能表明各种病理,包括与甲状腺有关的问题.
- 进入甲状腺囊的出血是一种不常见但可能的并发症.
研究的目的:
- 在冠状动脉血管造影后报告甲状腺囊出血病例.
- 突出这一罕见事件的临床表现和诊断发现.
主要方法:
- 一个72岁的男性患者的病例报告.
- 对临床病史,手术细节和诊断成像 (超声波) 的审查.
主要成果:
- 患者在冠状动脉血管造影后一天出现了渐进的,无痛的右侧部胀.
- 超声波显示在右甲状腺叶部有一个30.1毫米的精确定义的囊.
- 没有观察到与动脉的联系或动脉瘤的迹象.
结论:
- 甲状腺囊出血可以发生在侵袭性血管手术 (如冠状动脉血管学) 后的延迟并发症.
- 超声波是有效的诊断甲状腺囊出血.
- 及时诊断和监测对于管理这种情况至关重要.
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