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[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.

DOI:10.1016/j.annfar.2004.06.005
PMID:15345256
Abstract

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.

摘要

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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[Pulmonary embolism of cement during vertebroplasty].[椎体成形术中骨水泥的肺栓塞]
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引用本文的文献

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Respir Med Case Rep. 2018 Jun 27;25:78-85. doi: 10.1016/j.rmcr.2018.06.009. eCollection 2018.
2
An Experimental Study to Determine the Role of Inferior Vena Cava Filter in Preventing Bone Cement Implantation Syndrome.一项关于确定下腔静脉滤器在预防骨水泥植入综合征中作用的实验研究。
Iran J Radiol. 2015 Jul 22;12(3):e14142. doi: 10.5812/iranjradiol.14142v2. eCollection 2015 Jul.
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Intra-operative vertebroplasty combined with posterior cord decompression. A report of twelve cases.
术中椎体成形术联合后路脊髓减压术。12例报告。
Interv Neuroradiol. 2014 Oct 31;20(5):583-90. doi: 10.15274/INR-2014-10019. Epub 2014 Oct 17.
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Management of pulmonary cement embolism after percutaneous vertebroplasty and kyphoplasty: a systematic review of the literature.经皮椎体成形术和后凸成形术后肺水泥栓塞的管理:文献系统评价
Eur Spine J. 2009 Sep;18(9):1257-65. doi: 10.1007/s00586-009-1073-y. Epub 2009 Jul 4.
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Cardiovascular changes after pulmonary cement embolism: an experimental study in sheep.肺水泥栓塞后的心血管变化:一项在绵羊身上的实验研究。
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