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缺血性二尖瓣反流修复术后因可吸收止血钳肿胀导致的上腔静脉综合征

Superior vena cava syndrome caused by a swollen absorbable haemostat after repair of ischaemic mitral regurgitation.

作者信息

Eto Koki, Matsumoto Mitsuaki, Kubo Yoji, Kemmochi Reiko

机构信息

Department of Cardiovascular Surgery, Cardiovascular Center, Tsuyama Chuo Hospital, 1756, Kawasaki, Tsuyama City, Okayama 708-0841, Japan.

出版信息

J Cardiothorac Surg. 2014 Jan 3;9:1. doi: 10.1186/1749-8090-9-1.

DOI:10.1186/1749-8090-9-1
PMID:24387601
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3892085/
Abstract

Surgicel, an absorbable haemostat, is widely used in cardiovascular surgery. An 81-year-old woman, who was diagnosed with ischaemic mitral regurgitation, underwent mitral valve plasty and coronary artery bypass grafting. On postoperative day two, her superior vena cava (SVC) pressure gradually rose to 38 mmHg and she developed low output syndrome. Emergent surgery revealed that the cause of SVC syndrome was external compression from a haematoma at the posterior surface of the SVC, which formed around the Surgicel.

摘要

速即纱（一种可吸收止血剂）在心血管手术中广泛应用。一名81岁女性，被诊断为缺血性二尖瓣反流，接受了二尖瓣成形术和冠状动脉搭桥术。术后第二天，她的上腔静脉（SVC）压力逐渐升至38 mmHg，并出现低输出量综合征。急诊手术显示，SVC综合征的病因是SVC后表面的血肿造成的外部压迫，该血肿围绕速即纱形成。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e00/3892085/abc4ef895e3f/1749-8090-9-1-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e00/3892085/e0d6dd0f5c83/1749-8090-9-1-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e00/3892085/abc4ef895e3f/1749-8090-9-1-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e00/3892085/e0d6dd0f5c83/1749-8090-9-1-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e00/3892085/abc4ef895e3f/1749-8090-9-1-2.jpg

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本文引用的文献

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Acta Neurol Belg. 2014 Sep;114(3):229-31. doi: 10.1007/s13760-013-0203-9. Epub 2013 May 1.
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