与同步心肌梗塞,中风和肠道缺血症一起出现的血栓风暴:一个病例报告
Wen-Jian Chan1, Timothy Xin Zhong Tan2, R Ponampalam3
1Department of Emergency Medicine, SingHealth, Singapore General Hospital, Singapore 169608, Singapore. chan.wenjian@gmail.com.
World journal of critical care medicine
|December 11, 2025
概括
本案例报告详细介绍了一种罕见的血栓风暴,导致心肌梗塞,中风和肠道梗塞同时发生. 及时诊断和多学科护理对于管理这些复杂,危及生命的事件至关重要.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 胃肠病学 胃肠病学
背景情况:
- 报告了第一例同时发生心肌梗塞,中风和肠道梗塞的病例.
- 这表明血栓危机是可能的潜在原因.
研究的目的:
- 为了突出诊断风暴管理的诊断挑战.
- 强调在同时发生的缺血事件中需要多学科协调.
主要方法:
- 一个72岁的男性患有多次器官梗塞的病例报告.
- 使用计算机断层扫描 (CT) 扫描 (大脑和中腔管血管造影) 和心脏导管.
- 监测心电图 (ECG),生命体征和实验室结果.
主要成果:
- 被诊断为ST升高心肌梗塞 (STEMI),缺血性中风和大肠梗塞.
- 最初的诊断工作因心脏病性休克和乳酸酸症而复杂化.
- 由于血栓事件的严重程度,患者在介绍后两天死亡.
结论:
- 同时发生的多发性缺血事件带来了重大诊断和管理挑战.
- 及时诊断和协调的多学科护理至关重要.
- 对血栓风暴的基于证据的治疗策略需要进一步的研究.
相关概念视频
Acute Coronary Syndrome I: Introduction
711
Acute Coronary Syndrome (ACS) encompasses a spectrum of heart conditions caused by sudden obstruction of coronary arteries, typically resulting from the rupture of an atherosclerotic plaque and subsequent thrombus (blood clot) formation. This obstruction can lead to partial or complete blockage of blood flow, causing varying degrees of myocardial ischemia or infarction.ACS includes the following clinical entities:Unstable Angina (UA)Non-ST-Elevation Myocardial Infarction (NSTEMI)ST-Elevation...
711
Venous Thrombosis I: Introduction
294
Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
294
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
277
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...
277


