Razuin R, Effat O, Shahidan M N, Shama D V, Miswan M F M
University Technology MARA, Faculty of Medicine, Selangor, Malaysia.
Malays J Pathol. 2013 Jun;35(1):87-90.
Bone cement implantation syndrome (BCIS) is characterized by hypoxia, hypotension, cardiac arrhythmias, increased pulmonary vascular resistance and cardiac arrest. It is a known cause of morbidity and mortality in patients undergoing cemented orthopaedic surgeries. The rarity of the condition as well as absence of a proper definition has contributed to under-reporting of cases. We report a 59-year-old woman who sustained fracture of the neck of her left femur and underwent an elective hybrid total hip replacement surgery. She collapsed during surgery and was revived only to succumb to death twelve hours later. Post mortem findings showed multiorgan disseminated microembolization of bone marrow and amorphous cement material.
骨水泥植入综合征（BCIS）的特征为缺氧、低血压、心律失常、肺血管阻力增加及心脏骤停。它是接受骨水泥型骨科手术患者发病和死亡的已知原因。该病症罕见且缺乏恰当定义，导致病例报告不足。我们报告一例59岁女性，她左股骨颈骨折，接受了择期混合式全髋关节置换手术。她在手术过程中发生虚脱，虽经抢救恢复，但12小时后仍不幸死亡。尸检结果显示多器官出现骨髓和无定形骨水泥材料的弥漫性微栓塞。
