查詢結果分析
相關文獻
- 口腔癌術後併發肺栓塞--病例報告
- Successful Delayed Thrombolytic Therapy in a Patient with Massive Pulmonary Embolism
- Fatal Pulmonary Embolism in a Child Undergoing Extra-Ventricular Drainage Surgery--A Case Report
- 認識口腔癌
- The Role of Temporalis Muscle Flap in Intraoral Reconstruction after Cancer Surgery
- 胸大肌肌皮瓣重建口腔癌術後缺損之回溯分析
- 使用剝離細胞學檢測口腔鱗狀細胞癌之p 基因失去異質性
- Expression of Histone H3 Gene in Human Oral Cancer Detected by in Situ Hybridization
- 口腔癌頸部淋巴結電腦斷層掃描與頸部轉移之相關性
- 探討水溶性蜂膠萃取液之抗癌作用之研究
第1筆 /總和 1 筆
/ 1 筆
頁籤選單縮合
題名 | 口腔癌術後併發肺栓塞--病例報告=Pulmonary Embolism after Oral Cancer Surgery--A Case Report |
---|---|
作者 | 劉恩碩; 王峙仁; 林哲毅; Liu, En-shuo; Wang, Chih-jen; Lin, Che-yi; |
期刊 | 臺灣口腔顎面外科學會雜誌 |
出版日期 | 20190300 |
卷期 | 30:1 2019.03[民108.03] |
頁次 | 頁7-15 |
分類號 | 415.467 |
語文 | chi |
關鍵詞 | 肺栓塞; 口腔癌; Pulmonary embolism; Oral cancer; |
中文摘要 | 肺栓塞是一個難診斷且處理之疾病併有高死亡率。癌症外科手術中之併發症發生率並不高。本案例爲一口腔癌病患接受廣泛性切除、雙側頸部淋巴廓清術及游離皮瓣修補手術,術後九天發現呼吸淺快,血氧飽和度下降,動脈血液氣體分析呈現低氧血、血液檢查D-dimer偏高,心臟超音波發現左心室功能正常、右心室擴張、肺動脈高壓及三尖瓣嚴重回流,胸部電腦斷層攝影檢查顯示雙側肺動脈栓塞。後續利用體外循環系統,手術取出肺動脈血栓。本文藉由一個口腔癌術後發生肺栓塞的罕見案例,討論其診斷,治療及預防。 |
英文摘要 | Pulmonary embolism is a disease difficult to diagnosis and management with high mortality. Incidence rate was low in complications of cancer surgery. We reported a patient with oral cancer who underwent wide excision, bilateral selective neck dissection and free flap reconstruction. Nine days after surgery, we found rapid shallow breathing, low SpO_2 of the patient. Arterial blood gas analysis showed hypoxemia. Blood tests showed a D-dimer level higher than normal. Echocardiography revealed normal left ventricular function, right ventricular dilatation, pulmonary hypertension and severe tricuspid reflux. Chest computed tomography showed bilateral pulmonary embolisms. The bilateral pulmonary emboli were surgically removed under the use of cardiopulmonary bypass. The aim of this article was by this case we can know the diagnosis, treatment and prevention of pulmonary embolism after head and neck surgery. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。