单侧肺水肿伴严重急性二尖瓣反流 1 例。
A case of unilateral pulmonary oedema associated with severe acute mitral regurgitation.
机构信息
Weifang People's Hospital, Weifang, China.
出版信息
Clin Med (Lond). 2022 Mar;22(2):160-162. doi: 10.7861/clinmed.2021-0770.
Abstract
A 44-year-old woman presented to the emergency department with sudden chest tightness and breathlessness, and a chest X-ray revealed unilateral pulmonary oedema (UPO). Colour Doppler echocardiography showed that the leaflet prolapsed with severe regurgitation, and the regurgitant jet tended to blow rightward within the left atrium. With the assistance of mechanical ventilation and venoarterial extracorporeal membrane oxygenation, the patient underwent mitral valve replacement. UPO is easily misdiagnosed, which leads to delays in treatment. Therefore, accurate diagnosis and immediate treatment are crucial.
摘要
一位 44 岁女性因突发性胸闷和呼吸困难到急诊就诊，胸部 X 光片显示单侧肺水肿（UPO）。彩色多普勒超声心动图显示，瓣叶脱垂伴严重反流，反流射流倾向于在左心房内向右吹。在机械通气和静脉-动脉体外膜肺氧合的辅助下，患者接受了二尖瓣置换术。UPO 容易误诊，导致治疗延误。因此，准确的诊断和及时的治疗至关重要。
相似文献
1
A case of unilateral pulmonary oedema associated with severe acute mitral regurgitation.单侧肺水肿伴严重急性二尖瓣反流 1 例。
Clin Med (Lond). 2022 Mar;22(2):160-162. doi: 10.7861/clinmed.2021-0770.
2
Unilateral pulmonary oedema complicating mitral regurgitation: diagnosis and demonstration by transoesophageal echocardiography.二尖瓣反流并发单侧肺水肿：经食管超声心动图诊断与显示
Intensive Care Med. 2000 Apr;26(4):466-70. doi: 10.1007/s001340051183.
3
Right upper lobe pulmonary edema caused by acute mitral regurgitation. Diagnosis by transesophageal echocardiography.急性二尖瓣反流所致右上叶肺水肿。经食管超声心动图诊断。
Chest. 1993 Apr;103(4):1286-8. doi: 10.1378/chest.103.4.1286.
4
[Unilateral pulmonary edema in two patients with mitral regurgitation].[两名二尖瓣反流患者的单侧肺水肿]
Dtsch Med Wochenschr. 2008 Nov;133(47):2454-7. doi: 10.1055/s-0028-1100938. Epub 2008 Nov 12.
5
Cardiogenic unilateral pulmonary oedema in an infant with severe residual mitral regurgitation.一名患有严重二尖瓣反流残留的婴儿发生的心源性单侧肺水肿。
Cardiol Young. 2017 Jan;27(1):173-175. doi: 10.1017/S1047951116001372. Epub 2016 Oct 17.
6
An unusual cause of right upper- and mid-zone infiltrates on chest x-ray.胸部X光显示右上和中区浸润影的一个不寻常病因。
Crit Care Resusc. 2007 Sep;9(3):256-8.
7
Severe mitral regurgitation requiring ECMO therapy treated by interventional valve reconstruction using the MitraClip.采用MitraClip经介入瓣膜重建术治疗的需要体外膜肺氧合（ECMO）治疗的严重二尖瓣反流。
Catheter Cardiovasc Interv. 2015 Jan 1;85(1):170-5. doi: 10.1002/ccd.25332. Epub 2014 Jan 10.
8
Unilateral pulmonary oedema from mitral regurgitation.二尖瓣反流所致单侧肺水肿。
Intern Med J. 2011 Dec;41(12):844-6. doi: 10.1111/j.1445-5994.2011.02611.x.
9
Right upper lobe pulmonary edema after mitral valve replacement caused by paravalvular leakage recognized by bedside transesophageal echocardiography.床边经食管超声心动图识别二尖瓣置换术后瓣周漏致右上叶肺水肿
Crit Care Med. 2002 Mar;30(3):695-6. doi: 10.1097/00003246-200203000-00033.
10
Lobar pulmonary edema due to mitral regurgitation: diagnosis by echocardiography.二尖瓣反流所致的肺叶性肺水肿：经超声心动图诊断
J Card Surg. 1997 Nov-Dec;12(6):412-5. doi: 10.1111/j.1540-8191.1997.tb00161.x.
本文引用的文献
1
Acute Severe Mitral Regurgitation Secondary to Ischemic Papillary Muscle Rupture: A Case Report.缺血性乳头肌断裂继发急性重度二尖瓣反流：一例报告
Cureus. 2021 Mar 19;13(3):e13996. doi: 10.7759/cureus.13996.
2
Unilateral pulmonary edema and acute severe mitral regurgitation associated with operatively repaired aortic coarctation.与手术修复的主动脉缩窄相关的单侧肺水肿和急性重度二尖瓣反流。
Proc (Bayl Univ Med Cent). 2021 Jan 6;34(2):289-290. doi: 10.1080/08998280.2020.1860441.
3
Feasibility and safety of watershed detection by contrast-enhanced ultrasound in patients receiving peripheral venoarterial extracorporeal membrane oxygenation: a prospective observational study.接受外周静脉-动脉体外膜肺氧合治疗的患者中，对比增强超声检测分水岭的可行性和安全性：一项前瞻性观察研究。
Crit Care. 2020 Apr 2;24(1):126. doi: 10.1186/s13054-020-02849-y.
4
Unilateral pulmonary edema: a case report and review of the literature.单侧肺水肿：一例病例报告及文献综述
J Med Case Rep. 2018 Aug 14;12(1):219. doi: 10.1186/s13256-018-1739-3.
5
Left Ventricular Unloading During Veno-Arterial ECMO: A Simulation Study.左心室在静-动脉体外膜肺氧合中的卸载：一项模拟研究。
ASAIO J. 2019 Jan;65(1):11-20. doi: 10.1097/MAT.0000000000000755.
6
Unilateral cardiogenic pulmonary edema associated with acute mitral regurgitation.与急性二尖瓣反流相关的单侧心源性肺水肿。
Acute Med Surg. 2016 Aug 1;4(1):119-122. doi: 10.1002/ams2.234. eCollection 2017 Jan.
7
Thrombosed cor triatriatum sinistrum mimicking left atrial mass and causing unilateral pulmonary edema.血栓形成的左房三房心酷似左房肿块并导致单侧肺水肿。
J Cardiovasc Comput Tomogr. 2016 Mar-Apr;10(2):186-7. doi: 10.1016/j.jcct.2015.10.004. Epub 2015 Oct 27.
8
Successful use of pre and post-operative ECMO for pulmonary endarterectomy, mitral valve replacement and myomectomy in a patient with chronic thromboembolic pulmonary hypertension and hypertrophic cardiomyopathy.成功地在一名患有慢性血栓栓塞性肺动脉高压和肥厚型心肌病的患者中，在术前和术后使用体外膜肺氧合（ECMO）进行肺动脉内膜剥脱术、二尖瓣置换术和子宫肌瘤切除术。
Heart Lung Circ. 2015 Oct;24(10):e153-6. doi: 10.1016/j.hlc.2015.04.174. Epub 2015 May 21.
Zotero 插件