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复发性晕厥作为肺栓塞的一种表现形式。

Recurrent Syncope as a Presentation of Pulmonary Embolism.

作者信息

Suwanwongse Kulachanya, Shabarek Nehad

机构信息

Internal Medicine, Lincoln Medical Center, New York City, USA.

出版信息

Cureus. 2020 Jan 10;12(1):e6623. doi: 10.7759/cureus.6623.

Abstract

The diagnosis of pulmonary embolism is challenging particularly when patients present with vague and/or non-specific symptoms and signs. Misdiagnosis of pulmonary embolism can lead to death or severe morbidity. We reported a case of a 60-year-old woman presented with recurrent syncope who later was diagnosed as submassive pulmonary embolism. This case report highlights the importance of early diagnosis and management of pulmonary embolism to prevent life-threatening sequels. Pulmonary embolism should be considered as a differential diagnosis of patients presenting at an emergency department with syncope.

摘要

肺栓塞的诊断具有挑战性,尤其是当患者出现模糊和/或非特异性症状及体征时。肺栓塞的误诊可能导致死亡或严重的发病情况。我们报告了一例60岁女性反复出现晕厥,后来被诊断为亚大面积肺栓塞的病例。本病例报告强调了早期诊断和治疗肺栓塞以预防危及生命的后果的重要性。对于在急诊科因晕厥就诊的患者,应将肺栓塞列为鉴别诊断之一。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a07/7008764/7a72b86fd1a1/cureus-0012-00000006623-i01.jpg

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