相关实验视频
Updated: Jan 10, 2026

07:44
A Porcine Model of Acute Autologous Pulmonary Embolism
Published on: September 6, 2024
748
肺栓塞发生在患有未分化呼吸障碍的患者身上
1Emergency Department, Heartlands Hospital, Birmingham, GBR.
Cureus
|November 20, 2025
概括
肺栓塞 (PE) 尽管有双重抗凝和抗血小板治疗,但仍可能发生. 高度的临床怀疑至关重要,即使在服用血液稀释剂的患者中也是如此,因为PE症状可以模仿心力衰竭.
科学领域:
- 心脏病学 心脏病学
- 肺部病理学 肺部病理学
- 紧急医疗 紧急医疗
背景情况:
- 肺栓塞 (PE) 可能导致心室功能障碍,急性心力衰竭或休克.
- 大规模PE的非特异性迹象和症状使诊断复杂化.
- 急性心力衰竭和PE具有相同的临床表现和危险因素.
研究的目的:
- 为了突出在双重治疗的患者中发生PE的情况.
- 强调保持PE的高临床怀疑的重要性.
- 为了比较抗凝固疗法的疗效.
主要方法:
- 一个76岁的士的病例报告,呼吸短促恶化.
- 诊断工作包括心电图,胸部X射线,血液测试 (WCC,CRP,D-Dimer) 和CT肺血管图.
- 对抗凝血疗法和结果的审查.
主要成果:
- 患者出现了模仿脱补偿性心力衰竭的症状.
- CT肺血管造影证实了多次双边近邻肺栓塞与右心应变.
- 尽管患者正在服用华法林和克洛皮多格雷尔,但患者患有PE.
结论:
- 即使在双重抗凝和抗血小板治疗中,也可能发生PE,特别是如果是次疗法.
- 在接受抗凝药的患者中,保持对PE的高度临床怀疑至关重要.
- 直接作用的口服抗凝剂 (DOACs) 在某些患者中可能比华法林提供更可靠的抗凝作用.
相关概念视频
Pulmonary Embolism I: Introduction
479
Pulmonary embolism (PE) occurs when a thrombus, fat or air embolus, amniotic fluid, or tumor tissue blocks one or more pulmonary arteries. These blockages originate in the venous system or the right side of the heart.EtiologyPE primarily arises from deep vein thrombosis (DVT) and other hypercoagulable states, such as inherited thrombophilias. Additional etiological factors include venous stasis, commonly seen in obesity, and endothelial injury from surgery and trauma. Less common causes include...
479
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
286
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...
286
Pulmonary Embolism III: Nursing Management
336
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...
336
Chronic Obstructive Pulmonary Disease
2.2K
COPD is defined as a heterogeneous lung condition marked by persistent respiratory symptoms such as dyspnea, cough, and sputum production, caused by abnormalities in the airways that cause airflow obstruction.
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
2.2K
Chronic Obstructive Pulmonary Disease-III: Symptoms and Complications.
3.5K
Understanding the variety of primary symptoms and systemic complications that characterize chronic obstructive pulmonary disease (COPD) is crucial for healthcare professionals.
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
3.5K
Pulmonary Hypertension: Classification and Pathogenesis
547
Pulmonary hypertension (PH) is a severe health condition in which the mean pulmonary arterial pressure increases to 25 mmHg or more, even when the body is at rest. This high pressure in the blood vessels that transport blood from the heart to the lungs can cause various symptoms, including shortness of breath, can lead to right heart failure, and significantly affect the overall quality of life.
There are various classifications for PH, each relating to different underlying causes and also...
There are various classifications for PH, each relating to different underlying causes and also...
547

