一名胎盘滞留的败血症诱发心肌病患者的鱼翅征：病例报告和文献综述。

IF 1 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Internal Medicine Pub Date : 2025-04-01 Epub Date: 2024-09-04 DOI:10.2169/internalmedicine.3501-24

Yoshiyuki Ohnaga, Ryohei Ono, Kaoruko Aoki, Hirotoshi Kato, Togo Iwahana, Hiroyuki Takaoka, Akiko Omoto, Kaito Nakama, Takashi Kishimoto, Jun-Ichiro Ikeda, Yoshio Kobayashi

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引用次数: 0

摘要

胎盘滞留可导致脓毒性休克，但因胎盘滞留引起的脓毒症诱发心肌病（SICM）此前尚未见报道。本报告介绍了一例罕见的脓毒症诱发心肌病病例，患者为一名 40 岁女性，流产后因胎盘滞留导致脓毒性休克，并伴有心电图上的 "鲨鱼鳍征"，这种征象通常与心肌缺血有关。她出现了室性心动过速，需要静脉体外膜肺氧合；不过，她得到了成功的治疗。我们还回顾了以往在无心肌梗死患者中出现鱼翅征的病例。回顾结果显示，即使没有心肌梗死，半数病例也会出现致命性心律失常。

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Shark Fin Sign in a Patient with Sepsis-induced Cardiomyopathy Associated with Retained Placenta: A Case Report and Review of the Literature.

Retained placenta can lead to septic shock; however, sepsis-induced cardiomyopathy (SICM) due to retained placenta has not been reported previously. This report presents a rare case of SICM following septic shock due to retained placenta after miscarriage in a 40-year-old woman, accompanied by the "shark fin sign" on an electrocardiogram, a pattern typically linked to myocardial ischemia. She experienced ventricular tachycardia and required venoarterial extracorporeal membrane oxygenation; however, she was successfully treated. We also reviewed previous cases of shark fin sign in patients without myocardial infarction. A review showed that half of the cases experienced lethal arrhythmias, even without myocardial infarction.

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来源期刊

Internal Medicine 医学-医学：内科

CiteScore

1.90

自引率

8.30%

发文量

审稿时长

2.2 months

期刊介绍： Internal Medicine is an open-access online only journal published monthly by the Japanese Society of Internal Medicine. Articles must be prepared in accordance with "The Uniform Requirements for Manuscripts Submitted to Biomedical Journals (see Annals of Internal Medicine 108: 258-265, 1988), must be contributed solely to the Internal Medicine, and become the property of the Japanese Society of Internal Medicine. Statements contained therein are the responsibility of the author(s). The Society reserves copyright and renewal on all published material and such material may not be reproduced in any form without the written permission of the Society.