Department of Anesthesiology and Pain Medicine, School of Medicine, CHA University, Pocheon, Korea.
Korean J Anesthesiol. 2011 Dec;61(6):515-8. doi: 10.4097/kjae.2011.61.6.515. Epub 2011 Dec 20.
A pulmonary embolism and cerebral infarction are the second and third most common acute cardiovascular diseases after a myocardial infarction. Early diagnosis and appropriate management are important clinical challenges. In this case, a fatal pulmonary embolism and extensive cerebral infarction caused cardiac arrest during spinal anesthesia for total hip replacement surgery. Transesophageal echocardiography indicated a pulmonary embolism and brain CT showed large area of acute infarction at right middle cerebral artery territory. Pulmonary CT angiogram revealed massive pulmonary embolism findings. This paper reviews this case and suggests other preventive modalities.
肺栓塞和脑梗死是心肌梗死后第二和第三常见的急性心血管疾病。早期诊断和适当的管理是重要的临床挑战。在这种情况下，一名患者在全髋关节置换手术的脊髓麻醉期间发生致命性肺栓塞和广泛脑梗死，导致心脏骤停。经食管超声心动图提示肺栓塞，脑 CT 显示右侧大脑中动脉区域大面积急性梗死。肺动脉 CT 血管造影显示大量肺栓塞发现。本文回顾了该病例，并提出了其他预防方法。
