通过手术性血栓切除术成功治疗病Cerulea Dolens:一个案例报告
Tomofumi Fukuda1, Kosuke Saku1, Koki Nakamura1
1Cardiovascular Surgery, St. Mary's Hospital, Kurume, JPN.
Cureus
|February 10, 2026
概括
脑膜炎 (phlegmasia cerulea dolens,简称PCD) 是一种严重的深静脉血栓,可以模仿动脉封闭. 用对比度增强的CT在一位老年患者中有效诊断出PCD,使得成功的手术和抗凝剂治疗成为可能.
科学领域:
- 血管外科 血管外科
- 放射学 放射学是一门学科.
- 紧急医疗 紧急医疗
背景情况:
- 乳腺 (phlegmasia cerulea dolens,简称PCD) 是深静脉血栓症 (DVT) 的一种罕见但危及生命的并发症.
- PCD呈现的临床症状可能被误认为是急性动脉封闭,需要准确的诊断方法.
- 及时和正确的诊断对于有效的患者管理和肢体救援至关重要.
研究的目的:
- 突出延迟相对比增强计算机断层扫描 (CECT) 在区分PCD与急性动脉封闭的诊断实用性.
- 提出一个病例报告,一个老年患者被诊断出PCD使用CECT.
- 通过手术干预和抗凝剂来描述PCD的成功管理.
主要方法:
- 病例报告:一名86岁的男性出现了暗示急性四肢缺血的症状.
- 使用延迟相对比增强计算机断层扫描 (CECT) 的诊断成像.
- 治疗包括紧急手术静脉血栓切除和随后的抗凝剂治疗.
主要成果:
- 在本案中,CET精确地区分了Phlegmasia cerulea dolens与急性动脉封闭.
- 该患者成功接受了紧急手术静脉血栓切除术.
- 开始了术后抗凝剂治疗,导致了积极的结果.
结论:
- 延迟相 CECT 是对肢体威胁性血管紧急情况的差异诊断的宝贵工具.
- 手术静脉血栓切除,然后服用抗凝剂是PCD的有效治疗策略.
- 及时诊断和干预是管理PCD和预防肢体损失的关键.
相关概念视频
02:17Ecological Succession
21.6K
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...
21.6K
01:24Data Reporting and Recording
5.5K
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...
5.5K
01:25Types of Reports I: Hands-off Report
1.5K
A hand-off report, also known as a change-of-shift report, is a crucial nursing process that ensures the smooth transition of patient care responsibilities between nursing staff.
Following are the key components and categories of hand-off reports:
Purpose and Process:
Following are the key components and categories of hand-off reports:
Purpose and Process:
1.5K
01:21Types of Reports II: Incident or Occurrence Report
1.3K
An Incident or Occurrence Report in a healthcare setting is a crucial document used to record any unexpected occurrence that may or may not have affected a patient, employee, or visitor. Such reports are critical to improving patient safety and include all details leading up to and including the event.
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
1.3K
01:26Types of Reports III: Telephone and Verbal Reports
1.0K
Telephone and Verbal Reports in healthcare settings are two communication methods for conveying therapeutic instructions from healthcare providers to nurses or other healthcare staff.
Here's an overview of each type:
Telephone Orders
Here's an overview of each type:
Telephone Orders
1.0K
02:11Reporter Genes
13.4K
Reporter genes are a type of protein-coding gene that are often tagged to a gene of interest. Once inside a target cell, reporter genes usually produce visually identifiable characteristics like fluorescence and luminescence when expressed along with the gene of interest. Thus, reporter genes “report” the presence or absence of genes of interest in an organism, determine the gene expression pattern, or track the physical location of a DNA segment or protein in the cell.
13.4K