大型骨肺栓塞的内血管治疗:病例报告
Xia Lu1, Yang Shen1, Wenjun Zhao1
1Department of Vascular Surgery, Taizhou Hospital of Zhejiang Province, Affiliated to Wenzhou Medical University, Linhai, China.
SAGE open medical case reports
|October 3, 2024
概括
通过皮肤脊椎造形术治疗骨水泥栓塞的罕见病例通过内血管干预成功治疗. 这种微创手术有效地消除了肺栓塞,恢复了患者的健康.
科学领域:
- 干预性放射学 干预性放射学
- 血管外科 血管外科
背景情况:
- 穿皮脊柱整形术是治疗脊柱压缩骨折的常见手术.
- 骨水泥栓塞是一种罕见但严重的并发症,可能发生在脊椎造形术后.
- 肺栓塞症状可能在初始手术后几天或几周表现出来.
研究的目的:
- 为了描述骨凝土栓塞的成功内血管治疗.
- 突出内血管技术在治疗这种罕见并发症中的有效性.
主要方法:
- 一位经过皮肤脊椎塑造术后出现肺栓塞症状的患者接受了计算机断层扫描肺血管造影.
- 在肺动脉中发现骨水泥外体的诊断得到证实.
- 用支架辅助固定在阴静脉中进行了水泥栓塞的内血管检索.
主要成果:
- 内血管程序成功地移除了骨凝土栓塞.
- 在1年的随访中,患者无症状,在成像上没有肺栓塞的迹象.
- 血管造影证实了成功的支架安置和正常的阴道静脉.
结论:
- 血管内治疗是一种可行的和有效的选择,用于经皮脊椎塑造术后管理骨水泥栓塞.
- 这种方法提供了一种具有良好的长期结果的最小侵入性解决方案.
相关概念视频
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
3
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
3
Pulmonary Embolism III: Nursing Management
6
A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
6
Venous Thrombosis III: Interprofessional Care
3
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
3
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

