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頁籤選單縮合
題名 | Aortic Dissection in Pregnancy=懷孕婦女的主動脈剝離 |
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作者 | 鄭富仁; 李文輝; 劉博銘; 洪至威; Cheng, Fu-jen; Lee, Wen-huei; Liu, Ber-ming; Hung, Chih-wei; |
期刊 | 臺灣急診醫學會醫誌 |
出版日期 | 20070900 |
卷期 | 9:3 2007.09[民96.09] |
頁次 | 頁84-87 |
分類號 | 416.26 |
語文 | eng |
關鍵詞 | 懷孕; 主動脈剝離; 高血壓; Pregnancy; Aortic dissection; Hypertension; |
中文摘要 | 主動脈剝離是相對少見且致命的急症。本篇報告一名41歲懷孕34週的婦女,由於突發性的胸痛來到急診。這個胸痛是劇烈、持續性且延伸至背部。理學檢查發現高血壓及在側足背動脈的脈動消失,除此之外,心電圖和心肌酵素皆無明顯變化。電腦斷層顯示從升主動脈到腹主動脈的主動脈剝離,緊急剖腹產與升主動脈、動脈瓣的修補手術立即被安排。很不幸地,這個病人在術後第十天由於缺血性腸炎不幸過世。當懷孕婦女來到急診合併有高血壓時,子癲前症通常是我們的第一考量,但當病人合併有胸口痛,且延伸到背部時,還是要考慮到主動脈剝離的可能性,且應該馬上進行緊急的手術治療。 |
英文摘要 | Aortic dissection is a relatively rare but serious disease. Herein, we report a case of type A aortic dissection in a 41-year-old female patient at 34 weeks of gestation. The woman visited our emergency department due to severe, sudden-onset and persistent chest pain radiating to her back. The physical examination was normal except for hypertension and absence of left-side dorsalis pedis artery pulse. Electrocardiography and cardiac enzyme levels were both normal. Computed tomography revealed aortic dissection from the ascending aorta to the low abdominal aorta. An emergency caesarean section was arranged, followed by ascending aortic reconstruction and aortic valve resuspension. Unfortunately, the patient expired 10 days after surgery due to bowel ischemia. If a pregnant woman arrives at an emergency department with high blood pressure, preeclampsia is usually the first concem. However, if she also complains of chest pain radiating to her back, the possibility of aortic dissection should also be considered, and emergency surgery should not be delayed if the diagnosis is established. |
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