病例报告：肩关节镜检查后与深静脉血栓形成相关的遗传性血栓形成倾向
Case reports: heritable thrombophilia associated with deep venous thrombosis after shoulder arthroscopy.
作者信息
Bongiovanni Santiago L, Ranalletta Maximiliano, Guala Agustin, Maignon Gaston D
机构信息
Instituto de Ortopedia, Hospital Italiano de Buenos Aires, Potosí 4247, Buenos Aires, C1199ACK, Argentina.
出版信息
Clin Orthop Relat Res. 2009 Aug;467(8):2196-9. doi: 10.1007/s11999-009-0895-6. Epub 2009 May 19.
Abstract
Thromboembolic complications after shoulder arthroscopy are rare and their cause has not been well determined. Heritable thrombophilia has been studied in relation to numerous clinical conditions, and it has been associated with thromboembolic complications after some orthopaedic surgeries, especially after total hip or knee arthroplasty. We report three patients who had deep vein thrombosis develop after shoulder arthroscopy. All three tested positive for heritable thrombophilia, a condition undetected until this complication occurred. This report highlights the possibility that unrecognized coagulation disorders might seriously influence the clinical outcome of minimally invasive surgery. We suggest heritable thrombophilia is a possible risk factor for or etiology of deep vein thrombosis after shoulder arthroscopy.
摘要
肩关节镜检查后的血栓栓塞并发症较为罕见，其病因尚未完全明确。遗传性血栓形成倾向已在众多临床病症中得到研究，并且与一些骨科手术后的血栓栓塞并发症相关，尤其是全髋关节或膝关节置换术后。我们报告了三例在肩关节镜检查后发生深静脉血栓形成的患者。这三例患者遗传性血栓形成倾向检测均呈阳性，该病症在并发症发生前未被发现。本报告强调了未被识别的凝血障碍可能严重影响微创手术临床结局的可能性。我们认为遗传性血栓形成倾向可能是肩关节镜检查后深静脉血栓形成的一个潜在危险因素或病因。
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