查詢結果分析
來源資料
相關文獻
- Fatal Pulmonary Embolism in a Child Undergoing Extra-Ventricular Drainage Surgery--A Case Report
- What can be Used to Predict the Extent of Pulmonary Embolism if Perfusion-ventilation Scan is Not Available?
- 心電圖及心臟超音波評估急性肺栓塞症
- Successful Delayed Thrombolytic Therapy in a Patient with Massive Pulmonary Embolism
- The Significance of Early Subtle Coronary Arterial Lesions on Echocardiogram in Kawasaki Disease
- Midterm Outcome of Mitral Valve Regurgitation after Repair of Atrioventricular Septal Defect
- 影像分析及計算機圖學應用於心臟超音波
- Pulmonary Hypertension--From Echocardiography and Electrocardiography to Clinical Correlation
- Hypereosinophilic Syndrome--A Case Report
- Tuberculous Pericardial Effusion with Intrapericardial Echogenic Masses-- A Case Report
頁籤選單縮合
題 名 | Fatal Pulmonary Embolism in a Child Undergoing Extra-Ventricular Drainage Surgery--A Case Report=兒童接受腦室外引流術發生致命肺栓塞--死亡病例報告 |
---|---|
作 者 | 宋俊松; 鄒樂起; 孫懋昇; 余黃平; 何照明; 鄒美勇; 李德譽; | 書刊名 | 麻醉學雜誌 |
卷 期 | 37:1 1999.03[民88.03] |
頁 次 | 頁35-39 |
分類號 | 416.5 |
關鍵詞 | 肺栓塞; 腦室造口術; 脈絡叢腫瘤; 心臟超音波; Pulmonary embolism; Ventriculostomy; Choroid plexus neoplasms; Echocardiography; |
語 文 | 英文(English) |
中文摘要 | 血栓常發生在神經系統疾病及腦瘤患者,特別是臥床或肢體行動不便者,嚴重狀 況下常無法避免併發症及死亡發生。我們報告一例在十三天前因接受開顱術後於右枕骨區併 發硬腦膜下腔積液的二歲女孩,準備進行腦室外引流術,在麻醉誘導時突然停止心跳,雖然 積極急救但最終仍死亡之致命肺栓塞病例。急救過程所做胸前心臟超音波與經食道心臟超音 波顯示血栓散佈在右心房、右心室、肺動脈幹與左肺動脈,推測死亡原因為右心室出口被大 栓塞塊嚴重阻塞所致。本文討論可能引發血栓之因素,並探索血栓症的診斷與治療。 |
英文摘要 | Thromboembolism is rather common in neurological patients and patients with brain tumor, who are bed-ridden or with partial immobile limb. In serious instances morbidity and mortality are inevitable. We present a case report on a fatal pulmonary embolism in a 2-year-old girl who underwent extra-ventricular drainage procedure under general anesthesia for occipital subdural effusion, a sequela of the former surgery undertaken to remove the choroid plexus papilloma 13 days ago. Sudden cardiac arrest occurred during induction of anesthesia and she finally succumbed in spite of vigorous cardiopulmonary resuscitation. Transthoracic and transesophageal echocardiography performed in the course of resuscitation disclosed thrombi of various sizes scattering in right atrium, the right ventricle, main pulmonary trunk, and the left pulmonary artery. The cause of death was thought to be severe obstruction of right ventricular outflow tract by large thrombi. The etiological factors which possibly led to the thrombosis were discussed, and the methods of diagnosis and treatment were also explored. |
本系統中英文摘要資訊取自各篇刊載內容。