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右下肢疼痛患者心血管系统常见病理状况的共存

Coexistence of Common Pathologies of the Cardiovascular System in a Patient with Pain in the Right Lower Limb.

作者信息

Gać Paweł, Hajac Martyna, Macek Piotr, Poręba Rafał

机构信息

Centre for Diagnostic Imaging, 4th Military Hospital, Weigla 5, PL 50-981 Wroclaw, Poland.

Department of Hygiene, Wroclaw Medical University, Mikulicza-Radeckiego 7, PL 50-368 Wroclaw, Poland.

出版信息

Diagnostics (Basel). 2021 Jan 2;11(1):56. doi: 10.3390/diagnostics11010056.

DOI:10.3390/diagnostics11010056
PMID:33401663
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7823325/
Abstract

Deep vein thrombosis and pulmonary embolism, aortic aneurysm and aortic dissection, as well as peripheral arterial atherosclerosis, are frequently diagnosed vascular disorders. In this paper, the authors present the case of coexistence of common pathologies of the cardiovascular system in a patient with pain in the right lower limb. The presented images provide a didactically valuable overview of serious cardiovascular pathologies. This article highlights the value of computed tomography angiography in diagnosis of cardiovascular life-threatening conditions, especially as a result of proper medical interview and physical examination.

摘要

深静脉血栓形成和肺栓塞、主动脉瘤和主动脉夹层,以及外周动脉粥样硬化,都是常见的被诊断出的血管疾病。在本文中,作者介绍了一名右下肢疼痛患者同时存在心血管系统常见病变的病例。所展示的影像提供了关于严重心血管病变具有教学价值的概述。本文强调了计算机断层扫描血管造影术在诊断危及心血管生命的疾病中的价值,特别是通过适当的医学问诊和体格检查得出诊断结果的情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e14/7823325/ba5614122f08/diagnostics-11-00056-g001a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e14/7823325/ba5614122f08/diagnostics-11-00056-g001a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e14/7823325/ba5614122f08/diagnostics-11-00056-g001a.jpg

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本文引用的文献

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Advances in the Diagnosis of Venous Thromboembolism: A Literature Review.静脉血栓栓塞症诊断的进展:文献综述
Diagnostics (Basel). 2020 Jun 2;10(6):365. doi: 10.3390/diagnostics10060365.
2
Epidemiology, Pathophysiology, Stratification, and Natural History of Pulmonary Embolism.肺栓塞的流行病学、病理生理学、分层及自然史
Tech Vasc Interv Radiol. 2017 Sep;20(3):135-140. doi: 10.1053/j.tvir.2017.07.002. Epub 2017 Jul 5.
3
Increased risk of deep vein thrombosis and pulmonary thromboembolism in patients with aortic aneurysms: A nationwide cohort study.
主动脉瘤患者深静脉血栓形成和肺血栓栓塞风险增加:一项全国性队列研究。
PLoS One. 2017 Jun 7;12(6):e0178587. doi: 10.1371/journal.pone.0178587. eCollection 2017.
4
Epidemiology of Peripheral Arterial Disease and Critical Limb Ischemia.外周动脉疾病和严重肢体缺血的流行病学
Tech Vasc Interv Radiol. 2016 Jun;19(2):91-5. doi: 10.1053/j.tvir.2016.04.001. Epub 2016 Apr 22.
5
Acute aortic syndromes: definition, prognosis and treatment options.急性主动脉综合征:定义、预后及治疗选择
J Cardiovasc Surg (Torino). 2014 Apr;55(2 Suppl 1):133-44.
6
The coexistence of multiple cardiovascular diseases is an independent predictor of the 30-day mortality of hospitalized patients with congestive heart failure: a study in Beijing.多种心血管疾病并存是充血性心力衰竭住院患者 30 天死亡率的独立预测因素:北京的一项研究。
Clin Cardiol. 2011 Jul;34(7):442-6. doi: 10.1002/clc.20905. Epub 2011 May 31.