以胸痛休克為首發(fā)癥狀的馬凡綜合征1例
發(fā)布時間:2018-11-09 20:07
【摘要】:正患者,女,25歲,因突發(fā)胸痛伴大汗1 h,于2016年5月8日通過"120"急診送入我院。疼痛為胸骨下段劇烈撕裂樣疼痛,無法緩解,不能承受,無放射痛。有頭暈,四肢無力,無咳嗽、咳痰,急診測血壓65/46 mmHg,遂急診行冠狀動脈造影檢查,未見血管病變,術中可見大量心包積液,立即行心包穿刺術,抽出100 m L暗紅色血性液體,擬急性心包填塞原因待查收入我科;颊叻裾J高血壓
[Abstract]:The patient, 25 years old, was admitted to our hospital on May 8, 2016 through 120 emergency department due to sudden chest pain and sweating for 1 hour. Pain is severe lacerative pain of the lower sternum, can not be alleviated, can not bear, no radiation pain. There were dizziness, weakness of limbs, no cough, expectoration, emergency blood pressure was measured at 65 / 46 mmHg, and coronary angiography was performed in the emergency department. No vascular lesions were found. A large amount of pericardial effusion was observed during the operation, and pericardial puncture was performed immediately. The causes of acute pericardial tamponade were extracted from 100 mL dark red blood fluid and included in our department. Patient denies hypertension
【作者單位】: 湖北醫(yī)藥學院附屬人民醫(yī)院心臟中心;湖北醫(yī)藥學院附屬人民醫(yī)院超聲科;
【分類號】:R593.2
本文編號:2321425
[Abstract]:The patient, 25 years old, was admitted to our hospital on May 8, 2016 through 120 emergency department due to sudden chest pain and sweating for 1 hour. Pain is severe lacerative pain of the lower sternum, can not be alleviated, can not bear, no radiation pain. There were dizziness, weakness of limbs, no cough, expectoration, emergency blood pressure was measured at 65 / 46 mmHg, and coronary angiography was performed in the emergency department. No vascular lesions were found. A large amount of pericardial effusion was observed during the operation, and pericardial puncture was performed immediately. The causes of acute pericardial tamponade were extracted from 100 mL dark red blood fluid and included in our department. Patient denies hypertension
【作者單位】: 湖北醫(yī)藥學院附屬人民醫(yī)院心臟中心;湖北醫(yī)藥學院附屬人民醫(yī)院超聲科;
【分類號】:R593.2
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