Lin Chih-Chia, Chen Ssu-Yuan, Lan Ching, Ting-Fang Shih Tiffany, Lin Ming-Chuan, Lai Jin-Shin
Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, 7 Chung-Shan South Road, Taipei 10016, Taiwan, ROC.
Am J Phys Med Rehabil. 2002 Jan;81(1):68-71. doi: 10.1097/00002060-200201000-00013.
This article describes a 16-yr-old male patient who went into shock and cardiac arrest 2 wk after surgical repair of an atrial septal defect. Cardiac tamponade was diagnosed and promptly treated, and his hemodynamic status stabilized 4 hr after the initial presentation of shock; however, paraplegia was found when the patient regained consciousness. Physicians should be alert to a possible diagnosis of spinal cord infarction in patients with complications of cardiovascular surgery, particularly when a new onset of neurologic symptoms or signs occurs.
本文描述了一名16岁男性患者，他在房间隔缺损手术修复后2周出现休克和心脏骤停。诊断为心脏压塞并立即进行了治疗，在休克初次出现后4小时他的血流动力学状态稳定下来；然而，患者恢复意识时发现了截瘫。医生应警惕心血管手术并发症患者可能发生脊髓梗死的诊断，尤其是当出现新的神经症状或体征时。
