[椎体成形术中骨水泥的肺栓塞]
[Pulmonary embolism of cement during vertebroplasty].
作者信息
Charvet A, Metellus P, Bruder N, Pellissier D, Grisoli F, Gouin F
机构信息
Département d'anesthésie-réanimation, CHU Timone, 264, rue Saint-Pierre, 13385 Marseille cedex, France.
出版信息
Ann Fr Anesth Reanim. 2004 Aug;23(8):827-30. doi: 10.1016/j.annfar.2004.06.005.
A 62-year-old woman with severe osteoporosis experienced pulmonary embolism by polymethylmethacrylate after percutaneous vertebroplasty. The patient immediately developed respiratory and cardiac distress, and a computed tomographic scan revealed the presence of cement in the pulmonary circulation. Proper techniques can minimize the risk of pulmonary embolism during percutaneous vertebroplasty: adequate preparation of cement and fluoroscopy during the procedure are recommended.
一名62岁患有严重骨质疏松症的女性在经皮椎体成形术后发生了聚甲基丙烯酸甲酯所致的肺栓塞。患者立即出现呼吸和心脏窘迫，计算机断层扫描显示肺循环中有骨水泥。适当的技术可以将经皮椎体成形术期间肺栓塞的风险降至最低：建议在操作过程中对骨水泥进行充分准备并进行荧光透视检查。
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