病例报告:灵感来自通过皮肤脊椎塑造术后罕见的致命心脏穿孔
Ke Deng1, Jia-Lin Yu1, Ye-Jun Feng1
1Department of Orthopaedics, The First Affiliated Hospital of Yangtze University, Jingzhou, China.
Frontiers in surgery
|September 21, 2023
概括
穿皮脊椎造形术 (PVP) 有助于早期患者动员,但存在风险. 这一案例突出了致命的骨质水泥栓塞并发症,强调需要谨慎的PVP程序来防止泄漏.
科学领域:
- 整形外科 整形外科 整形外科
- 心脏病学 心脏病学
- 放射学 放射学是一门学科.
背景情况:
- 骨质疏松性脊椎压缩骨折在老年人中很常见.
- 穿皮脊椎造形术 (PVP) 提供了早期动员的好处.
- 骨水泥泄漏是PVP的一个已知的并发症.
研究的目的:
- 报告一个罕见的PVP后致命的骨质水泥栓塞病例.
- 为了强调在PVP期间防止骨质水泥泄漏的关键重要性.
- 提高骨科外科医生对潜在PVP并发症的认识.
主要方法:
- 一个85岁的男性患者的病例报告,因为L1脊椎压缩骨折而接受PVP.
- 术后诊断使用心脏超声波和肺部计算机断层血管学 (CTA).
主要成果:
- 患者在PVP后出现胸部紧张和心跳.
- 心脏超声波揭示了心脏周围的输液.
- 肺部CTA在右心室中发现了骨水泥栓塞,导致穿孔.
结论:
- 骨水泥栓塞可以导致严重的心脏并发症,包括致命的结果.
- 精心的外科手术技术是最重要的,以防止骨质水泥在PVP期间扩散.
- 骨科外科医生需要提高警和意识,以了解与PVP相关的栓塞风险.
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相关概念视频
Esophageal Perforation-I: Introduction
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
Esophageal Perforation-II: Clinical Manifestations and Management
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
