保守治疗跟腱断裂后发生致命性肺栓塞——病例报告
Fatal pulmonary embolism following conservatively managed tendo achilles rupture-A case report.
作者信息
Venkatachalam S, Wright K U
机构信息
University Hospitals of North Durham, Durham, UK.
出版信息
Int J Surg Case Rep. 2012;3(1):3-5. doi: 10.1016/j.ijscr.2011.09.005. Epub 2011 Oct 8.
Abstract
INTRODUCTION
Tendo achilles (TA) ruptures are commonly encountered in orthopaedic practice. These can be managed operatively or conservatively depending on various factors like patient age, activity levels, co morbidities, patient expectations and surgeon preference. They are usually treated in plaster cast immobilisation if managed conservatively.
CASE REPORT
We present a case of fatal pulmonary embolism following conservatively managed Tendo achilles (TA) rupture in a young man treated as an orthopaedic outpatient.
DISCUSSION
There are no current clear guidelines on venous thromboembolism (VTE) prophylaxis in conservatively managed outpatients with cast immobilisation.
CONCLUSION
Our case report highlights the importance of recognition of this aspect of patient management and reviews the current literature available on this debatable topic.
摘要
引言
跟腱断裂在骨科临床实践中较为常见。根据患者年龄、活动水平、合并症、患者期望以及外科医生的偏好等多种因素，这些断裂可以通过手术或保守方式进行处理。如果采用保守治疗，通常会用石膏固定。
病例报告
我们报告一例年轻男性跟腱断裂保守治疗后发生致命性肺栓塞的病例，该患者作为骨科门诊患者接受治疗。
讨论
目前对于采用石膏固定保守治疗的门诊患者，尚无关于静脉血栓栓塞（VTE）预防的明确指南。
结论
我们的病例报告强调了认识患者管理这一方面的重要性，并回顾了关于这个有争议话题的现有文献。
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引用本文的文献
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Fatal Pulmonary Embolism following Achilles Tendon Repair: A Case Report and a Review of the Literature.跟腱修复术后致命性肺栓塞：一例病例报告及文献综述
Case Rep Orthop. 2013;2013:401968. doi: 10.1155/2013/401968. Epub 2013 May 30.
本文引用的文献
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J Bone Joint Surg Br. 2010 May;92(5):646-50. doi: 10.1302/0301-620X.92B5.23241.
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Low molecular weight heparin for prevention of venous thromboembolism in patients with lower-leg immobilization.低分子量肝素用于预防小腿固定患者的静脉血栓栓塞症。
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