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显微镜下腰椎间盘手术中髂外动脉破裂 - 1 例报告 -

Rupture of external iliac artery during microscopic lumbar disc surgery -A case report-.

机构信息

Department of Anesthesiology and Pain Medicine, Kangnam Women's Hospital, Suwon, Korea.

出版信息

Korean J Anesthesiol. 2010 Dec;59 Suppl(Suppl):S176-8. doi: 10.4097/kjae.2010.59.S.S176. Epub 2010 Dec 31.

Abstract

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.

摘要

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。

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本文引用的文献

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Endovascular treatment of iatrogenic iliac artery disruption in lumbar disc surgery.
Ann Vasc Surg. 2009 Mar;23(2):255.e7-11. doi: 10.1016/j.avsg.2008.02.014. Epub 2008 May 6.
3
Iatrogenic vascular injury during to lumbar disc surgery.腰椎间盘手术期间的医源性血管损伤。
Acta Neurochir (Wien). 2007;149(5):511-5; discussion 516. doi: 10.1007/s00701-007-1132-2. Epub 2007 Mar 28.
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Vascular complications of lumbar disc surgery.腰椎间盘手术的血管并发症
Acta Neurochir (Wien). 1996;138(8):912-6. doi: 10.1007/BF01411278.

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