Department of Anesthesiology and Pain Medicine, Kangnam Women's Hospital, Suwon, Korea.
Korean J Anesthesiol. 2010 Dec;59 Suppl(Suppl):S176-8. doi: 10.4097/kjae.2010.59.S.S176. Epub 2010 Dec 31.
Iatrogenic vascular injury during lumbar disc surgery is a rare but serious complication. This paper reports a patient who sustained an injury to the iliac artery while undergoing intervertebral disc surgery at the lumbar region. He suffered from massive bleeding and shock. An urgent laparatomy was performed under cardiopulmonary bypass, and the vascular injuries were repaired successfully. This case shows that a rapid diagnosis and immediate intervention can result in a favorable outcome.
医源性血管损伤是腰椎间盘手术中罕见但严重的并发症。本文报告了 1 例患者在腰椎间盘手术中发生髂动脉损伤,导致大量出血和休克。患者在体外循环下行紧急剖腹探查,成功修复了血管损伤。本病例表明快速诊断和及时干预可以获得良好的结果。