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作为双边肺栓塞的罕见表现:病例报告
Mohamed Elshafei1, Haidar Barjas2, Abdelnasser Elzouki2,3
1Clinical Pharmacy Department, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar.
Clinical medicine insights. Case reports
|February 24, 2026
概括
持续的打可能是肺栓塞的唯一症状,这是一个严重的疾病. 对老年患者这种罕见表现的早期诊断对于有效治疗和改善结果至关重要.
科学领域:
- 医学案例报告 病例报告
- 心脏病学 心脏病学
- 肺部病理学 肺部病理学
背景情况:
- 肺栓塞 (PE) 是一种危及生命的疾病,临床表现各异.
- 经典的症状包括呼吸不良,血栓塞和胸痛,但不典型的表现可能会推迟诊断.
- 作为PE的唯一表现,持续的打很少被报告,这给诊断带来了挑战.
研究的目的:
- 报告一个罕见的肺栓塞病例,仅表现为持续的打.
- 强调在老年患者中考虑PE的重要性,这些老年患者有不明原因的持续性打.
主要方法:
- 介绍了一例76岁的老人,他持续了两个月的抽.
- 诊断工作包括D-二次体,下肢多普勒超声波和CT肺血管造影.
主要成果:
- 患者表现出持续的打是唯一的症状,没有呼吸道投诉.
- 证实了D-二次体升高,右下肢深静脉血栓,双侧肺栓塞.
结论:
- 持续的打可能是肺栓塞的唯一症状.
- 临床医生应在排除常见原因后,怀疑老年患者有无法解释的持续性打时,怀疑PE.
- 早期诊断和治疗非典型的PE表现对于降低发病率和改善结果至关重要.
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