鞍状肺栓塞:一个罕见的近端肺栓塞病例

Hamissou Ibrahim, Nacocan Domiciano, Amri Rachida, Cherti Mohammed
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引用次数: 0

摘要

鞍状肺栓塞是指在胸部造影断层扫描中,肺动脉主干分叉处出现可见血栓,呈现鞍状。这种情况非常罕见,仅占肺栓塞患者的 5.2%。(1)我们报告了一例 93 岁女性患者的病例,她既往无血栓栓塞病史,25 年前做过胆囊手术。患者因胸痛伴呼吸困难和肺水肿入院,胸部对比断层扫描证实其为典型的鞍状肺栓塞。患者的血流动力学状态稳定,预后风险评分处于中上水平。她在心脏重症监护室接受了抗凝治疗,临床症状有所改善。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
SADDLE PULMONARY EMBOLISM: A RARE CASE OF PROXIMAL PULMONARY EMBOLISM
Saddle pulmonary embolism is defined as the presence of a visible thrombus located at the bifurcation of the pulmonary artery trunkshowing an aspect of saddle on a chest contrasted tomography scan. This is a rare case occurring in only 5.2% of patients with pulmonary embolism. (1)We report the case of a 93-year-old female patient who had no thrombo-embolic past medical history, she had got the gall bladder operation 25 years ago. The patient was admitted for a dyspnea associated with a chest pain and desaturation related to a pulmonary embolism confirmed on a chest contrasted tomography scan that has shown a typical aspect of saddle pulmonary embolism. Our patient was stable on hemodynamic state and had a high intermediate prognostic risk score. She was managed at the cardiac intensive care unit with anticoagulation that improved her clinically.
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