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題 名 | 移除膝膕部貝克氏囊腫後造成之猝死--病例報告=Aborted Sudden Death after Removal of a Baker's Cyst--A Case Report |
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作 者 | 黃靜惠; 黃重禮; 楊光道; 蔡正道; 楊伯達; | 書刊名 | 內科學誌 |
卷 期 | 10:4 1999.08[民88.08] |
頁 次 | 頁159-162 |
分類號 | 415.384 |
關鍵詞 | 肺栓塞; 貝克氏囊腫; 深層靜脈栓塞; Pulmonary embolism; Baker's cyst; Deep venous thrombosis; |
語 文 | 中文(Chinese) |
中文摘要 | 一名58歲女性,健康情形良好,於施行左側膝膕部貝克氏囊腫(Baker's cyst )摘除術後,不到2日之光景,即因神智喪失,送至本院急診,送至急診時,呈到院死亡 狀態,經成功地施行心肺復甦術及短暫呼吸器使用後,病人逐漸康復。因系列心電圖及心 臟超音波之變化,強烈懷疑為急性嚴重肺栓塞(Acute massive pulmonary embolism)引 起之猝死,而施行肺部核子醫學檢查,肺部血流通氣掃描(lung perfusion/ventilation scan)及選擇性肺動脈攝影(selective pulmonary artery angiography),證實為肺栓 塞。查閱文獻,貝克氏囊腫與下肢深層靜脈栓塞(deep venous thrombosis)有一定的關 聯性,也有因貝克氏囊腫引起肺栓塞之病例報告。故提出此病例以提醒大家應將貝克氏囊 腫視為肺栓塞的危險因子。 |
英文摘要 | A 58-year-old female who developed sudden onset of consciousness change 2 days after surgical removal of left Baker's cyst. Death on arrival was documented at our emergency room. Successful resuscitation and short term mechanical ventilation were instituted. No neurologic sequal was noted after recovery. A series of work-up revealed an incomplete RBBB change on a EKG and right ventricular hypokinesis on an echocardiogram, favoring of acute pulmonary embolism. A subsequent lung perfusion/ventilation scan and a selective pulmonary angiogram confirmed the diagnosis. After heparinization, follow-up lung perfusion/ventilation scan, an echocardiogram and a EKG showed normalization of the disease process. We report this case to remind the possibility of pulmonary embolism developing after surgical removal of a Baker's cyst and deep venous thrombosis. The possible mechanism underlying the association between Baker's cyst and pulmonary embolism was discussed. Acute massive pulmonary embolism should be on the high priority of the list of differential diagnoses for sudden death. (J Intern Med Taiwan 1999;10: 159- 162) |
本系統中英文摘要資訊取自各篇刊載內容。