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在同一手术过程中进行剖宫产和下肢骨折的骨固定术。

Cesarean section and osteosynthesis of lower limb fractures in the same surgical procedure.

作者信息

Wajnsztejn Andre, Ejnisman Leandro, Zlotnik Eduardo, Zitron Luiz Roberto, Ejnisman Benno, Cohen Moises

机构信息

Federal University of Sao Paulo, Brazil.

University of Sao Paulo, Brazil.

出版信息

Int J Surg Case Rep. 2014;5(2):111-3. doi: 10.1016/j.ijscr.2013.11.013. Epub 2013 Dec 10.

DOI:10.1016/j.ijscr.2013.11.013
PMID:24469261
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3921648/
Abstract

INTRODUCTION

Orthopedic trauma during pregnancy can cause serious complications such as premature birth, stillbirth and maternal morbidities.

PRESENTATION OF CASE

We report the case of a patient at 38 weeks pregnancy who fractured the left ankle and the right fifth metatarsal after falling. Cesarean section and osteosynthesis were performed in the usual manner in the same surgical procedure. There were no postoperative complications.

DISCUSSION

Pregnancy and puerperium are associated with a hypercoagulable state. The early mobilization provided by surgical treatment of the fractures reduced the risks of thromboembolic events.

CONCLUSION

The approach adopted may be used as an example for future procedures done in similar situations.

摘要

引言

孕期骨科创伤可导致严重并发症，如早产、死产和母体发病。

病例介绍

我们报告一例38周妊娠患者，其跌倒后导致左脚踝和右足第五跖骨骨折。在同一手术过程中以常规方式进行了剖宫产和骨固定术。术后无并发症。

讨论

妊娠和产褥期与高凝状态有关。骨折手术治疗提供的早期活动减少了血栓栓塞事件的风险。

结论

所采用的方法可作为未来类似情况下手术的范例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b073/3921648/02eaa594b7fa/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b073/3921648/8ecd021f1ce7/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b073/3921648/55f356806aa7/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b073/3921648/d101a3a06e93/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b073/3921648/02eaa594b7fa/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b073/3921648/8ecd021f1ce7/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b073/3921648/55f356806aa7/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b073/3921648/d101a3a06e93/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b073/3921648/02eaa594b7fa/gr4.jpg

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