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頁籤選單縮合
題 名 | Postoperative Right Atrial and Pulmonary Embolism after Prolonged Spinal Surgery=長時間脊椎手術後產生右心房血栓及肺血管栓塞 |
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作 者 | 蕭鴻宗; 袁懷璧; 劉錦棠; 丁乾坤; 牛興華; 呂炳榮; 李德譽; | 書刊名 | 麻醉學雜誌 |
卷 期 | 37:4 1999.12[民88.12] |
頁 次 | 頁215-220 |
分類號 | 416.52 |
關鍵詞 | 全身麻醉; 脊椎手術; 術後併發症; 肺血栓性栓塞; Anesthesia; General; Surgery; Spinal; Postoperative complication; Pulmonary thromboembolism; |
語 文 | 英文(English) |
中文摘要 | 手術前後發生右心房血栓及肺血管栓塞是很罕見的,而迅速且正確的診斷更是困 難。我們將報告一病例,接受長時間脊椎手術在送到恢復室後有心搏過速及血流動力不穩定 的徵象。在懷疑手術當中產生深部靜脈血栓的疑似診斷下,在恢復室中用經食道超音波確定 診斷有右心房血栓及肺血管栓塞。雖然經緊急心臟手術,進行心切開( cardiotomy )及血 栓清除( thrombectomy )手術,病人仍然死亡。在此病例報告中,我們將討論有關的危險 因子、預防、診斷及治療方式。 |
英文摘要 | Perioperative pulmonary thromboembolism can proceed rapidly with grave prognosis, in which immediate or accurate diagnosis and managment is not easy. According to the literatures, patients receiving spinal surgery are at relatively lower risk of developing thromboembolism. We would like to present a case of postoperative pulmonary thromboembolism which developed after a prolonged lumbar spinal surgery. Tachycardia and unstable hemodynamics were noted postoperatively. Pulmonary and right atrial thrombi were disclosed by transesophageal echocardiography. Although cardiotomy and thrombectomy were immediately performed, the patient finally died 3 days after the operation. The pathogenesis of venous thromboembolism (VTE) in the surgical patients, the risk factors which predispose a patient to VTE, diagnosis, and treatment as well as the prophylactic measures of VTE are herein reviewed and discussed. |
本系統中英文摘要資訊取自各篇刊載內容。