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一名严重主动脉瓣狭窄患者的复发性胃肠道出血:黑德氏综合征的诊断

Recurrent Gastrointestinal Bleeding in a Patient With Severe Aortic Valve Stenosis: A Diagnosis of Heyde's Syndrome.

作者信息

Obeidat Adham E, Kim Jean

机构信息

Internal Medicine, University of Hawaii, Honolulu, USA.

出版信息

Cureus. 2021 Jun 4;13(6):e15442. doi: 10.7759/cureus.15442. eCollection 2021 Jun.

DOI:10.7759/cureus.15442
PMID:34258111
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8255048/
Abstract

Heyde's syndrome is defined as the coexistence of aortic valve stenosis (AS) and recurrent gastrointestinal (GI) bleeding from intestinal angiodysplasia (IA). Despite the fact that Heyde's syndrome was first described decades ago, the association between AS and IA remains frequently unidentified, and thus, a high clinical suspicion is needed for its diagnosis. Here we present a case of a 60-year-old man with a history of severe AS, who presented with recurrent GI bleeding and was found to have multiple intestinal angioectasias on endoscopy.

摘要

海德氏综合征的定义为主动脉瓣狭窄(AS)与肠道血管发育异常(IA)导致的反复胃肠道(GI)出血同时存在。尽管海德氏综合征在数十年前就首次被描述,但AS与IA之间的关联仍常常未被识别,因此,其诊断需要高度的临床怀疑。在此,我们报告一例60岁男性患者,有严重AS病史,出现反复GI出血,在内镜检查中发现有多处肠道血管扩张。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c04/8255048/afa55a5e4f9a/cureus-0013-00000015442-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c04/8255048/bf5bec1cdeef/cureus-0013-00000015442-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c04/8255048/afa55a5e4f9a/cureus-0013-00000015442-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c04/8255048/bf5bec1cdeef/cureus-0013-00000015442-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c04/8255048/afa55a5e4f9a/cureus-0013-00000015442-i02.jpg

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本文引用的文献

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A case of recurrent obscure gastrointestinal bleeding: Heyde's syndrome - case report and review.一例复发性不明原因胃肠道出血:海德综合征——病例报告及文献复习
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