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溶栓治疗深静脉血栓形成后并发脊髓硬膜外血肿及随后的肺血栓栓塞:一例报告

Spinal epidural hematoma after thrombolysis for deep vein thrombosis with subsequent pulmonary thromboembolism: a case report.

作者信息

Han Young-Min, Kwak Ho-Sung, Jin Gong-Young, Chung Gyung-Ho, Song Kyung-Jin

机构信息

Department of Radiology, Chonbuk National University Medical School, Keumam Dong, Chonju, South Korea.

出版信息

Cardiovasc Intervent Radiol. 2006 May-Jun;29(3):450-3. doi: 10.1007/s00270-004-0133-2.

Abstract

A 38-year-old male was initially admitted for left leg swelling. He was diagnosed as having deep vein thrombosis (DVT) in the left leg and a pulmonary thromboembolism by contrast-enhanced chest computed tomography (CT) with delayed lower extremity CT. The DVT was treated by thrombolysis and a venous stent. Four hours later, he complained of severe back pain and a sensation of separation of his body and lower extremities; he experienced paraplegia early in the morning of the following day. Magnetic resonance imaging showed a spinal epidural hematoma between T11 and L2, which decompressed following surgery. We, therefore, report a case of a spinal epidural hematoma after thrombolysis in a case of DVT with a pulmonary thromboembolism.

摘要

一名38岁男性最初因左腿肿胀入院。通过胸部增强计算机断层扫描(CT)及下肢延迟CT检查,他被诊断为左腿深静脉血栓形成(DVT)和肺血栓栓塞。DVT通过溶栓和静脉支架治疗。四小时后,他主诉严重背痛以及身体与下肢分离感;次日清晨出现截瘫。磁共振成像显示胸11至腰2水平脊髓硬膜外血肿,术后血肿得以减压。因此,我们报告一例DVT合并肺血栓栓塞溶栓后发生脊髓硬膜外血肿的病例。

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