活动性感染性心内膜炎合并肾梗死二尖瓣成形术后肾出血1例

A. Matsumoto, S. Yasuda, T. Cho, Y. Matsuki, Yoshiyuki Kobayashi, Kaori Mori, K. Uchida
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引用次数: 0

摘要

一名患有特应性皮炎的55岁女性以感染性休克的诊断入院。她有多发脑梗塞和左肾梗塞。经食管超声心动图显示二尖瓣处有一个10毫米的可移动的疣状病变。紧急二尖瓣成形术,疣状病变成功切除。患者血流动力学稳定,术后在呼吸支持下入住重症监护病房(ICU)。术后第3天,贫血加重,术后第4天,患者休克。急诊栓塞止血,患者血液循环得到改善。本文报告首例感染性心内膜炎术后肾出血病例。本病例对本病的治疗有一定的参考价值。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Case of Renal Hemorrhage After Mitral Valvuloplasty for Active Infective Endocarditis with Renal Infarction
A 55-year-old woman with atopic dermatitis was admitted to the hospital with a diagnosis of septic shock. She had multiple cerebral and left renal infarctions. Transesophageal echocardiography revealed a 10 mm mobile verrucous lesion at the mitral valve. Emergency mitral valvuloplasty was performed, and the verrucous lesion was successfully removed. The patient was hemodynamically stable and was admitted to the postoperative intensive care unit (ICU) under ventilatory support. On postoperative day 3, anemia progressed, and on postoperative day 4, the patient went into shock. Emergency embolization was performed for hemostasis, and the patient’s circulation improved. This is the first report of a case of renal hemorrhage after surgery for infective endocarditis. This case is valuable for the treatment of this disease in which various complications occur.
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