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病例报告:误诊为肥胖的右心衰竭——远程医疗的失误

Case Report: Right Heart Failure Mistaken for Obesity-A Fault of Telemedicine.

作者信息

Sabiniewicz Anna, Lubocka Paulina, Sabiniewicz Robert

机构信息

Medical Faculty, Medical University of Gdansk, Gdansk, Poland.

Department of Pediatric Cardiology and Congenital Heart Disease, Medical University of Gdańsk, Gdansk, Poland.

出版信息

Front Pediatr. 2022 Apr 25;10:856911. doi: 10.3389/fped.2022.856911. eCollection 2022.

DOI:10.3389/fped.2022.856911
PMID:35547550
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9083262/
Abstract

As a result of the COVID-19 pandemic, telemedicine has become an important branch of healthcare worldwide. Apart from their undeniable advantages, the virtual visits lack physical examination, which can lead to important diagnostic mistakes. We hereby present a case of a pediatric patient whose weight gain, initially attributed to a sedentary lifestyle was, in fact, due to sub-acute right heart failure in the context of a ruptured sinus of Valsalva aneurysm. The condition was not diagnosed until the patient presented at the emergency. The boy was successfully treated with two percutaneous interventions and returned to his previous stature.

摘要

由于新冠疫情,远程医疗已成为全球医疗保健的一个重要分支。除了其不可否认的优势外,虚拟问诊缺乏体格检查,这可能导致重大的诊断错误。我们在此呈现一例儿科患者的病例,该患者体重增加最初被归因于久坐不动的生活方式,而实际上是由于瓦氏窦瘤破裂导致的亚急性右心衰竭。该病症直到患者急诊时才被诊断出来。这个男孩通过两次经皮介入治疗成功治愈,并恢复到了之前的身高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e10/9083262/92d920b1e162/fped-10-856911-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e10/9083262/92d920b1e162/fped-10-856911-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e10/9083262/92d920b1e162/fped-10-856911-g0001.jpg

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本文引用的文献

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Nutrients. 2021 Oct 19;13(10):3668. doi: 10.3390/nu13103668.
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Case Report: Transcatheter Closure of Ruptured Sinus of Valsalva With Ventricular Septal Defect Occluder in a 3-Year-Old Child After Repair of Ventricular Septal Defect.病例报告:一名3岁儿童在室间隔缺损修复术后使用室间隔缺损封堵器经导管闭合破裂的主动脉窦。
Front Pediatr. 2021 Sep 30;9:751163. doi: 10.3389/fped.2021.751163. eCollection 2021.
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成年患者瓦氏窦瘤破裂合并二叶式主动脉瓣
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Eur Heart J Case Rep. 2021 Jul 7;5(7):ytab233. doi: 10.1093/ehjcr/ytab233. eCollection 2021 Jul.
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