Hagedorn Judith C, Morton John M
Department of Surgery, Stanford School of Medicine, Stanford, CA 94305-5655, USA.
Obes Surg. 2006 Aug;16(8):1096-100. doi: 10.1381/096089206778026370.
We present the case of pulmonary embolus after retrieval of a temporary inferior vena caval (IVC) filter in a Jehovah's Witness patient who underwent uneventful laparoscopic gastric bypass surgery. The 40-year-old female was admitted to the hospital 2 days after retrieval of the filter with bilateral pulmonary emboli for which she received anticoagulation therapy and consequently developed thoracic bleeding. We present this complicated case to highlight the risk of pulmonary emboli after IVC filter removal without anticoagulation, and to demonstrate the additional risk in managing a Jehovah's Witness patient.
我们报告一例耶和华见证会患者在取出临时下腔静脉（IVC）滤器后发生肺栓塞的病例，该患者接受了顺利的腹腔镜胃旁路手术。这位40岁女性在取出滤器两天后因双侧肺栓塞入院，接受了抗凝治疗，随后出现胸腔出血。我们展示这个复杂病例，以强调在未进行抗凝的情况下取出IVC滤器后发生肺栓塞的风险，并说明管理耶和华见证会患者时的额外风险。
