Sperling John W, Cofield Robert H
Department of Orthopedic Surgery, Mayo Clinic, 200 First Street S.W., Rochester, MN 55902, USA.
J Bone Joint Surg Am. 2002 Nov;84(11):1939-41. doi: 10.2106/00004623-200211000-00005.
While there have been numerous reports concerning the risk of pulmonary embolism after knee and hip arthroplasty, no such information is available for shoulder arthroplasty, as far as we know. The purpose of this study was to determine the prevalence of pulmonary embolism following shoulder arthroplasty.
A review of 2885 consecutive patients who underwent primary shoulder arthroplasty at our institution between June 30, 1981, and June 30, 2001, was performed to identify all patients who sustained a pulmonary embolism.
During this time-period, five patients sustained a pulmonary embolism following shoulder arthroplasty. Three of the five presented with symptoms that were originally attributed to causes other than pulmonary embolism. None of the patients sustained a fatal pulmonary embolism.
The data from this study demonstrate that pulmonary embolism is an uncommon complication of shoulder arthroplasty and that surgeons should have a high degree of suspicion if patients have respiratory difficulty following shoulder arthroplasty.
尽管已有众多关于膝关节和髋关节置换术后肺栓塞风险的报道，但据我们所知，尚无关于肩关节置换术后此类信息的报道。本研究的目的是确定肩关节置换术后肺栓塞的发生率。
对1981年6月30日至2001年6月30日期间在我院连续接受初次肩关节置换术的2885例患者进行回顾，以确定所有发生肺栓塞的患者。
在此期间，5例患者在肩关节置换术后发生肺栓塞。5例中有3例最初出现的症状被归因于肺栓塞以外的原因。所有患者均未发生致命性肺栓塞。
本研究数据表明，肺栓塞是肩关节置换术的一种罕见并发症，并且如果患者在肩关节置换术后出现呼吸困难，外科医生应高度怀疑。
