脊柱手术和令人不安的X射线后呼吸障碍:一个水泥栓塞病例
Nikias Milaras1, Nikolaos G Baikoussis2, Panagiotis Dourvas1
1Department of Cardiology, General Hospital of Athens Hippocration, Athens, Greece.
JACC. Case reports
|August 19, 2024
概括
在脊柱手术后发生了一种罕见的并发症,即水泥迁移到心脏,导致呼吸困难. 心脏水泥栓塞的手术切除是成功的.
科学领域:
- 心脏病学 心脏病学
- 神经外科 神经外科
- 医疗成像医学成像
背景情况:
- 仪器腰椎脊柱融合是一种常见的手术程序.
- 可能会出现诸如水泥扩散等并发症,但很少具有临床意义.
- 凝固到心脏的栓塞是一种潜在的,尽管不常见的,不良事件.
研究的目的:
- 报告在腰椎脊柱融合后发生心脏水泥栓塞的病例.
- 突出这一罕见并发症的诊断和管理挑战.
- 强调认识到水泥栓塞是脊柱手术后心肺症状的潜在原因的重要性.
主要方法:
- 一个老年妇女的病例报告显示,在腰椎脊柱融合后出现呼吸障碍.
- 诊断工作包括胸部放射和进一步的成像,以确定心脏轮异常.
- 外科手术是为了从三腹下膜器官中去除异物.
主要成果:
- 一个U形物体被识别在心脏轮在胸部X射线图.
- 图像检测证实,物体被困在三子下膜器官中.
- 该物体经过手术切除,并确定为聚甲基甲酸水泥.
结论:
- 已知但不常见的脊柱手术并发症是水泥外流和栓塞.
- 这一案例强调了在脊髓融合后出现心肺症状的患者中考虑水泥栓塞的重要性.
- 及时诊断和手术干预可以为这种罕见的并发症带来成功的结果.
相关概念视频
Pneumothorax-II
127
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
127
Imaging Studies for Cardiovascular System III: X-Ray
161
The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
161
Endoscopic Studies II: Thoracocentesis
223
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
223
Radiological Investigation I: X-ray and CT
219
Radiological investigations, including X-rays and computed tomography (CT) scans, are critical for diagnosing and evaluating various medical conditions. These imaging techniques provide valuable insights into the body's internal structures, aiding in the detection of abnormalities, assessment of disease progression, and development of treatment strategies. This article delves into two primary radiological investigations, chest X-rays and CT scans, outlining their purpose, procedures, and...
219
Respiratory System Abnormal Finding I: Inspection and Percussion
233
Respiratory system abnormalities are a significant concern in healthcare due to their potential to indicate underlying severe conditions like Chronic Obstructive Pulmonary Disease (COPD), asthma, and pneumonia. These abnormalities can often be detected through physical examination methods like inspection and percussion.
Inspection Findings
During an inspection, several findings may suggest the presence of respiratory distress or disease. Pursed-lip breathing, where exhalation is slowed by...
Inspection Findings
During an inspection, several findings may suggest the presence of respiratory distress or disease. Pursed-lip breathing, where exhalation is slowed by...
233
Flail Chest-II
160
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
160


