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急性主动脉夹层后发生大面积肺栓塞一例。病例报告。

An Incident of a Massive Pulmonary Embolism Following Acute Aortic Dissection. a Case Report.

作者信息

Fernandes Sofia, Rodrigues Mariana, Barreiros Catarina, Côrte-Real Hugo, Ferreira Ricardo, Nobre Ângelo

机构信息

Department of Anesthesiology, Centro Hospitalar Universitario Lisboa Norte EPE, Lisboa, Portugal.

Department of Cardiothoracic Surgery, Centro Hospitalar Universitario Lisboa Norte EPE, Lisboa, Portugal.

出版信息

J Crit Care Med (Targu Mures). 2021 Jan 29;7(1):67-72. doi: 10.2478/jccm-2021-0001. eCollection 2021 Jan.

Abstract

Acute aortic dissection and acute pulmonary embolism are two life-threatening emergencies. The presented case is of an 81-year-old man who has been diagnosed with an acute Stanford type A aortic dissection and referred to a tertiary hospital for surgical treatment. After a successful aortic repair and an overall favourable postoperative recovery, he was diagnosed with cervical and upper extremity deep vein thrombosis and was anticoagulated accordingly. He later presented with massive bilateral pulmonary embolism.

摘要

急性主动脉夹层和急性肺栓塞是两种危及生命的急症。本文介绍的病例是一位81岁男性,被诊断为急性斯坦福A型主动脉夹层,并被转诊至一家三级医院接受手术治疗。在成功进行主动脉修复且术后整体恢复良好后,他被诊断出患有颈部和上肢深静脉血栓形成,并据此接受了抗凝治疗。他后来出现了双侧大面积肺栓塞。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e026/8519376/18464d71d09b/jccm-07-067-g001.jpg

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