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妊娠期主动脉夹层伴心脏压塞:一个具有挑战性的临床情况。

Aortic Dissection With Cardiac Tamponade in Pregnancy: A Challenging Clinical Scenario.

作者信息

Barroso Daniela, Santos Sérgio, Tomás Ana Sofia, Castro Heloísa, Pinheiro Vieira António

机构信息

Internal Medicine, Centro Hospitalar Universitário de Santo António, Porto, PRT.

ACES (Agrupamento de Centros de Saúde) Grande Porto III-Maia/Valongo, Family Medicine, Maia, PRT.

出版信息

Cureus. 2023 Aug 25;15(8):e44126. doi: 10.7759/cureus.44126. eCollection 2023 Aug.

Abstract

Aortic dissection is the acute aortic syndrome with the highest mortality, and pregnancy and arterial hypertension are known risk factors. Its association with the perinatal period is a particularly unique and potentially devastating clinical catastrophe which is why the approach to a pregnant woman in cardiorespiratory arrest (CRA) should be multidisciplinary and early, with extraction of the fetus ideally within five minutes after the arrest. We present the case of a 39-year-old pregnant woman, who presented with a cardiorespiratory arrest in the context of an aortic dissection with cardiac tamponade and the need for an urgent perimortem cesarean section. Increasing knowledge and understanding among healthcare professionals has the potential to aid in the early detection and effective treatment of this challenging medical issue.

摘要

主动脉夹层是死亡率最高的急性主动脉综合征,妊娠和动脉高血压是已知的危险因素。它与围产期的关联是一种特别独特且可能具有毁灭性的临床灾难,这就是为什么对于心脏呼吸骤停(CRA)的孕妇应采取多学科且早期的处理方法,理想情况下在心脏骤停后五分钟内取出胎儿。我们报告一例39岁孕妇的病例,该孕妇在主动脉夹层合并心脏压塞的情况下发生心脏呼吸骤停,需要紧急进行濒死剖宫产。提高医疗专业人员的知识和认识有可能有助于早期发现并有效治疗这一具有挑战性的医学问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a3f/10518221/6736b231b9db/cureus-0015-00000044126-i01.jpg

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