一名25岁的孕妇患有复发性血栓塞
Shan Kai Ing1, Yih Hoong Lee1, Ioanna Ting Yung Sim1
1Department of Medicine, Sibu General Hospital, Ministry of Health, Sibu, Malaysia.
Breathe (Sheffield, England)
|February 19, 2026
概括
在怀孕期间早期识别遗传性出血端膜病 (HHT) 是至关重要的. 肺动脉静脉形形需要在第二个三个月内迅速栓塞,以确保孕妇和胎儿的安全.
科学领域:
- 产科和妇科 产科和妇科
- 血管医学 血管医学
- 遗传学 是一个遗传学.
背景情况:
- 遗传性出血端膜病 (HHT) 是一种影响血管的遗传性疾病.
- HHT患者的肺动脉静脉形 (PAVM) 在怀孕期间存在重大风险.
- 与PAVMs相关的孕产妇和胎儿并发症包括出血和中风.
研究的目的:
- 强调怀孕个体早期HHT诊断的重要性.
- 为了突出怀孕期间PAVMs的风险.
- 倡导及时干预和HHT患者的多学科管理.
主要方法:
- 在怀孕期间对HHT管理的文献综述.
- 对患有PAVMs的孕妇患者的案例研究分析.
- 讨论跨学科的护理协议.
主要成果:
- 早期识别HHT可以进行主动管理.
- 第二季度PAVMs的栓塞有效地降低了母胎风险.
- 多学科的护理对于成功的结果至关重要.
结论:
- 在怀孕期间及时识别和干预HHT至关重要.
- 在怀孕的第二个三个月内PAVMs的栓塞可以确保母胎安全.
- 综合护理方法改善了孕妇HHT的结果.
相关概念视频
Pneumothorax-II
1.1K
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
1.1K
Pulmonary Embolism I: Introduction
912
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...
912
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
517
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...
517
Pulmonary Embolism III: Nursing Management
483
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...
483
Pulmonary Cycle: Exhalation
3.9K
In terms of human respiration, the act of expelling air, known as exhalation (or expiration), operates on the principle of pressure gradients. During expiration, the pressure within the lungs exceeds that of the surrounding atmosphere. Under normal conditions, quiet breathing involves passive exhalation and is free of muscular contractions. This is because the exhalation process is driven by the natural elastic recoil of the lungs and chest wall, both of which have an inherent tendency to...
3.9K
Pulmonary Tuberculosis I
1.0K
Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
1.0K


