来自门水出血的血,导致首次记录成功的肝移植:一个病例报告
Emily E Currier1, Cindy Y Won2, Ximena Parraga3
1Division of Gastroenterology and Hepatology, Beth Israel Deaconess Medical Center, Boston, MA 02115, United States. ecurrie2@bidmc.harvard.edu.
World journal of transplantation
|January 29, 2026
概括
破裂的门脉是肝硬化患者罕见但危及生命的并发症. 早期识别腹内静脉对于管理耐火性休克和改善结果至关重要.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 胃肠病学 胃肠病学
- 手术重症监护手术重症监护
背景情况:
- 口腔静脉是晚期肝硬化和门门高血压的罕见并发症.
- 门脉静脉的破裂可能导致血,这是一种具有高死亡率的危及生命的疾病.
- 这种情况甚至在已知食道或胃变节的患者中也是一个风险.
研究的目的:
- 报告一种导致出血性休克的自发的omental variceal破裂病例.
- 为了突出考虑腹内静脉的重要意义,在肝硬化患者与震惊.
- 综述关于体内静脉动脉和其管理的文献.
主要方法:
- 一个36岁的女性患有与酒精有关的肝硬化病例报告.
- 患者呈现出由于自发的omental variceal破裂而引起的出血性休克.
- 进行了紧急手术和正义肝移植.
主要成果:
- 成功的急诊手术为omental variceal破裂. 这是一次成功的急诊手术.
- 在同一入院期间,该患者接受了首次记录成功的正义肝移植手术.
- 这一案例突显出一种罕见但危急的水出血表现.
结论:
- 早期考虑和识别腹腔内水来源对于患有耐火性休克的肝硬化患者至关重要.
- 口腔静脉,虽然很少见,但可以作为出血性休克的原因.
- 及时诊断和干预,包括肝移植,可以挽救生命.
相关概念视频
Introduction to Documentation and Reporting
2.9K
Documentation is the systematic process of formally recording, maintaining, and communicating information.
Nursing documentation records essential information and details regarding a patient's care and treatment in written or electronic form. It is a critical aspect of nursing practice that involves documenting assessments, interventions, outcomes, and other relevant details about a patient's health status.
Documentation maps the patient's health journey by creating a comprehensive...
Nursing documentation records essential information and details regarding a patient's care and treatment in written or electronic form. It is a critical aspect of nursing practice that involves documenting assessments, interventions, outcomes, and other relevant details about a patient's health status.
Documentation maps the patient's health journey by creating a comprehensive...
2.9K
Ecological Succession
21.5K
Ecological succession is influenced by the processes of facilitation, inhibition, and toleration. Facilitation occurs when early successional species create more favorable ecological conditions for subsequent species, such as enhanced nutrient, water, or light availability. In contrast, inhibition happens when early successional species create unfavorable ecological conditions for potential successive species, such as limiting resource availability. In some cases, later successional species...
21.5K
Data Reporting and Recording
5.4K
Reporting and recording are crucial in data documentation. The timely, thorough, and accurate documentation of facts is essential when recording patient data. Failure to record findings during an assessment or interpretation of a problem will result in loss of information and make the patient document unreliable. The reader is left with general impressions if the information is not specific. A recording is documenting data of the individual's health information in a traceable, secure, and...
5.4K
Esophageal Varices-I: Introduction
1.4K
Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
1.4K
Bleeding in Fresh Concrete
573
Bleeding in fresh concrete occurs when water from the mix rises to the surface. This happens because the mix's solid components fail to retain all the water as they settle, leading to separation where water collects at the top. The severity of bleeding can be measured by assessing the total settlement or by noting the decrease in height per unit height of concrete.
Bleeding can cause several issues in the concrete structure. Sometimes, the rising water gets trapped beneath large aggregate...
Bleeding can cause several issues in the concrete structure. Sometimes, the rising water gets trapped beneath large aggregate...
573
Esophageal Varices-II: Clinical Features and Management
565
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
565


