一个由骨髓腔灌引起的静脉气栓塞病例报告
Boe Feng1, Hong Duan1, Kai Liu2
1Department of Anesthesiology, Kunming Children's Hospital & Children's Hospital of Kunming Medical University, Kunming, China.
Medicine
|January 21, 2026
概括
严重的静脉气栓塞 (VAE) 在儿科骨髓灌期间发生. 迅速干预,包括导管吸入和氧气治疗,导致完全康复,强调了骨科手术需要保持警的必要性.
科学领域:
- 儿科整形外科 儿科整形外科
- 麻醉学 麻醉学
- 关键护理医学 关键护理医学
背景情况:
- 静脉气栓塞 (VAE) 是一种罕见但危及生命的并发症,在涉及血管结构或压力灌的手术过程中出现.
- 接受骨科手术的儿科患者容易感染VAE,特别是在骨髓腔灌等手术期间.
研究的目的:
- 在大腿骨髓炎手术期间报告儿科患者罕见的严重VAE病例.
- 强调在儿科骨科手术中及时诊断和管理VAE的重要性.
主要方法:
- 一名患有大腿骨髓炎的3岁女孩接受了涉及骨髓腔灌的手术.
- 患者的临床状况迅速恶化,表明VAE.
- 通过床边回声心脏图确认了诊断,并启动了紧急干预.
主要成果:
- 患者的二氧化碳,氧和度,脉率和血压突然下降.
- 包括导管吸入,100%氧气,左侧定位和停止灌在内的干预措施迅速解决了症状.
- 患者完全康复,没有神经缺陷.
结论:
- 这一案例强调了在涉及潜在的空气引入的儿科骨科手术期间需要提高警的必要性.
- 立即的心声回声评估对于快速的VAE诊断至关重要.
- 及时和适当的紧急干预对于预防与儿童VAE相关的发病率和死亡率至关重要.
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