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复杂患者的简单操作:围手术期心尖球形综合征。

A simple procedure in a complex patient: perioperative takotsubo cardiomyopathy.

机构信息

Department of Anaesthesia, Central Adelaide Local Health Network, Adelaide, South Australia, Australia

Department of Intensive Care Medicine, Central Adelaide Local Health Network, Adelaide, South Australia, Australia.

出版信息

BMJ Case Rep. 2020 Dec 17;13(12):e233121. doi: 10.1136/bcr-2019-233121.

Abstract

Takotsubo cardiomyopathy (TTC) is a rare but life-threatening condition that is still not completely understood. Characterised by rapidly reversible ventricular dysfunction without any prior coronary artery disease, it can imitate a myocardial infarction and lead to death if not managed appropriately. This report examines a case of intraoperative cardiac arrest in a patient with no previous cardiac disease, and discusses the factors that may have precipitated this event, as well as the ways of distinguishing the cause of the arrest based on clinical course and investigations, eventually leading to a diagnosis of TTC.

摘要

心尖球囊样综合征(TTC)是一种罕见但危及生命的疾病,目前仍不完全清楚。其特征为迅速可逆的心室功能障碍,无任何先前的冠状动脉疾病,可模仿心肌梗死,如果处理不当可导致死亡。本报告检查了一例无先前心脏病的术中心脏骤停患者,并讨论了可能引发该事件的因素,以及根据临床过程和调查来区分骤停原因的方法,最终导致 TTC 的诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e49/7747580/91dd2a41e209/bcr-2019-233121f01.jpg

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