由于左心室大规模扩大而引起的巨额腹腔失调 (dysphagia megalatriensis)
Dhruva Govil1, Leonardo Romero-Barajas1, Paul Weber2
1Department of Internal Medicine, Henry Ford Providence Southfield Hospital, Southfield, Michigan, USA.
JACC. Case reports
|March 16, 2026
概括
由于左心室扩张而引起的巨型腹症 (dysphagia megalatriensis) 通常被误诊. 早期识别这种罕见的疾病是关键,将重点转移到心脏管理和支持性护理,以获得更好的患者结果.
科学领域:
- 心脏病学 心脏病学
- 胃肠病学 胃肠病学
- 放射学 放射学是一门学科.
背景情况:
- 巨腹痛 (dysphagia megalatriensis) 是由扩张的左心室引起的食道压缩,是一种罕见的疾病.
- 它经常被误诊为初级食道疾病,延迟了适当的治疗.
- 准确的诊断至关重要,因为治疗的目标是潜在的心脏病理.
研究的目的:
- 为了突出诊断挑战和临床表现的 dysphagia megalatriensis.
- 强调认识到食道压缩的心脏原因的重要性.
- 举例来说明一个严重心力衰竭的二次性食障碍 (dysphagia megalatriensis).
主要方法:
- 一个63岁的男性心力衰竭病人的病例报告.
- 诊断工作包括吞,上部内镜,胸部CT和心声回声.
- 图像检测显示左心房扩大导致食道阻塞和严重的双心室功能障碍.
主要成果:
- 胸部CT显示左心房显著扩大,压缩食道.
- 心声扫描显示出严重减少的喷射分数 (17%),左心室扩张,严重的 mitra 和三腹吐,以及肺高血压.
- 患者呈现出渐进的消化不良和体重减轻.
结论:
- 由于末期双心脏功能障碍和严重的膜疾病,该患者被认为是不可操作的.
- 管理重点是优化心力衰竭,饮食变化和多学科支持性护理.
- 早期识别大肠胃食障碍有助于适当的管理,避免不必要的食道干预.
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