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关节镜下半月板切除术后发生肺栓塞的罕见病例。

An unusual case of pulmonary embolism after arthroscopic meniscectomy.

作者信息

Seon Jong Keun, Song Eun Kyoo, Yoon Taek Rim, Park Sang Jin, Seo Hyoung Yeon

机构信息

Orthopedics, Chonnam National University Medical School, 160, Ilsim-ri, Hwasun-eup, Hwasun-gun, 519-809, Jeonnam, Republic of South Korea.

出版信息

Arch Orthop Trauma Surg. 2006 Nov;126(9):641-3. doi: 10.1007/s00402-006-0129-2. Epub 2006 Mar 7.

Abstract

Although the incidence of pulmonary embolism (PE) following arthroscopic knee surgery has not been well established, such occurrences place the patient at high risk. In this report we present a case of PE following arthroscopic meniscectomy. The patient was a 63-year-old woman, with no definite risk factors for PE, who underwent successful arthroscopic meniscectomy. However, on the postoperative 9th day she developed dyspnea and tachycardia. Investigations carried out in the emergency department, including EKG, echocardiography, and CT angiography, supported the diagnosis of a PE. Heparin therapy was initiated, and the patient's condition then improved sufficiently to allow follow-up at our outpatient department.

摘要

虽然关节镜下膝关节手术后肺栓塞(PE)的发生率尚未完全明确,但此类情况会使患者处于高风险状态。在本报告中,我们呈现了一例关节镜下半月板切除术后发生肺栓塞的病例。患者为一名63岁女性,无明确的肺栓塞风险因素,接受了成功的关节镜下半月板切除术。然而,术后第9天她出现了呼吸困难和心动过速。在急诊科进行的检查,包括心电图、超声心动图和CT血管造影,支持了肺栓塞的诊断。开始了肝素治疗,患者的病情随后充分改善,得以在我们的门诊部进行随访。

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