当空气变薄,血液变厚时:高海拔多细胞血症中的冠状血管瘤
Sonali V Kumar1, Ashok Meshram2, Vinay Kumar3
1Ophthalmology, Command Hospital (Eastern Command) Kolkata, Kolkata, IND.
Cureus
|March 16, 2026
概括
高海拔多细胞血症可能会通过增加血液粘度而恶化胆道血管瘤. 管理多细胞血症等系统性因素对于治疗这种罕见的血管瘤和保持视力至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 血液学 血液学 血液学
- 血管生物学 血管生物学
背景情况:
- 冠状动脉瘤是一种罕见的良性血管瘤.
- 相关的脑下液可能会导致视力受损.
- 影响冠状动脉瘤活动的系统性因素尚不清楚.
研究的目的:
- 报告一名患有高海拔多细胞血症的患者中一种独特的冠状动脉瘤病例.
- 突出系统性缺氧和高粘度在加重冠状血管瘤中的潜在作用.
主要方法:
- 一个36岁的士兵在高海拔地区失明的案例报告.
- fundus 检查揭示了带有下液的胸腔血管瘤.
- 血液学工作显示高海拔多细胞血症;JAK 2和ANA是负的.
- 治疗性瘤切除和静脉注射aflibercept注射进行了.
主要成果:
- 这位患者出现了冠状动脉瘤和高海拔多细胞血症 (Hb 18.8 g/dL,Hct 60.6%).
- 在瘤切除术后,血红蛋白降至16.6g/dL.
- 静脉肠道aflibercept导致了脑下腺液的显著沉降.
- 视觉敏度得到改善,并建议患者避免高空暴露.
结论:
- 系统性因素,包括慢性缺氧诱导的高粘度,可能会导致冠状动脉瘤活动.
- 认识到胆道血管瘤与高海拔多细胞瘤之间的关联对于诊断和管理至关重要.
- 有效的管理需要解决眼部瘤和潜在的系统性疾病,以保持视力.
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