继发于蛇咬伤的心力衰竭。重症监护医生的视角:病例报告

Andrés A. Restrepo Bastidas, Mateo Aguirre Flórez, J. A. Hoyos Muñoz, Melissa Gonzales Ramírez, D. R. Echeverry Piedrahita
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引用次数: 0

摘要

背景:两性畸形是一种被忽视的疾病,影响着热带国家。拉丁美洲是继非洲之后全球病例最多的地区。局部病变伴随着临床过程,直至全身病变,如肾脏、血液和神经系统病变。心脏并发症很少见,尤其是在没有心血管危险因素的患者中。有关于急性心肌梗死的报道,但很少有关于 Bothrops 引起心力衰竭的信息:我们介绍了一例无心血管危险因素的 25 岁男性病例,他被送入重症监护室后,因被蛇咬伤继发心力衰竭、心源性休克和多器官功能衰竭。结论:虽然两栖类蛇咬伤事故的特征性临床过程及其全身表现主要与凝血功能异常有关,但在其临床表现中也存在心血管并发症,这些并发症虽然罕见,但如果不能及时发现且处理不当,则会导致高发病率和高死亡率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Heart failure secondary to a snake bite. The intensivist's vision: case report
Background: Ophidic accident is a neglected disease that affects tropical countries. Latin America is the second region after Africa, with the most cases worldwide. Local lesions accompany its clinical course up to systemic affectations such as renal, hematological, and neurological lesions. Cardiac complications are rare, especially in patients who do not have cardiovascular risk factors. There are reports of acute myocardial infarction, but there is little information about heart failure due to Bothrops spp. Case report: We present the case of a 25-year-old man without cardiovascular risk factors who was admitted to the intensive care unit and developed heart failure with cardiogenic shock and multi-organ failure secondary to a snake bite. Conclusions: Although the characteristic clinical course of a bothropic ophidian accident and its systemic manifestations are mainly related to coagulation abnormalities, there are cardiovascular complications within its clinical presentation that, although rare, if not detected promptly and not adequately managed, are associated with high morbidity and mortality.
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