Salih Karakoyun, Yasin Haydar Yartaşı, M. Demir, M. Boğan
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引用次数: 0
摘要
本病例报告讨论了一位在Valsalva手法后出现呼吸困难和晕厥前症的患者。患者有慢性便秘史，排便困难，用力过猛。到达急诊科后，患者表现出心脏填塞的迹象，计算机断层扫描(CT)显示高密度的心包出血积液。心包穿刺和手术减压处理心包填塞。患者症状好转，出院时病情稳定。本病例强调了便秘潜在的致命并发症，强调了在心血管护理中采用整体方法的必要性。中华医学会医学杂志。2024;18(1): 001。DOI: https://doi.org/10.55010/imcjms.18.001*Correspondence: Mustafa BOĞAN，急诊科，医学院，d zce大学，d zce，土耳其，邮政编码:81620;电子邮件:mustafabogan@hotmail.com;ORCID: 0000-0002-3238-1827
This case report discusses a patient who presented with dyspnea and presyncope following the Valsalva maneuver. The patient had a history of chronic constipation and experienced difficulty defecating, leading to vigorous straining. Upon arrival at the emergency department, the patient exhibited signs of cardiac tamponade and computed tomography(CT) scan revealed high-density pericardial hemorrhagic effusion. Pericardiocentesis and surgical decompression were performed to manage the tamponade. The patient's symptoms improved and discharged in stable condition. This case highlights the potential fatal complications of constipation, emphasizing the need for a holistic approach in cardiovascular care.
IMC J Med Sci. 2024; 18(1):001. DOI: https://doi.org/10.55010/imcjms.18.001
*Correspondence: Mustafa BOĞAN, Emergency Department, School of Medicine, Düzce University, Düzce, Turkey, Posta code: 81620; Email: mustafabogan@hotmail.com; ORCID: 0000-0002-3238-1827
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