腰椎间盘显微切除术术中下腔静脉破裂的血管修复创新技术：一例报告
Innovative Technique of Vascular Repair in Intra-Operative IVC Rupture During Lumbar Microdiscectomy: A Case Report.
作者信息
Singh Sandeep, Bhanot Arun, Bajaj Nipun, Rustagi Pooja
机构信息
Primus Super Specialty Hospital, Chankayapuri, New Delhi, India.
出版信息
Arch Trauma Res. 2013 Dec;2(3):133-5. doi: 10.5812/atr.11005. Epub 2013 Dec 1.
BACKGROUND
Major vascular injury during a spinal surgery is a rare but most dreaded complication.
CASE PRESENTATION
A 39 years old female undergoing microscopic lumbar discectomy suddenly developed severe hypotension on table. The procedure was abandoned and the patient turned supine. It was diagnosed to be a major vessel tear and the patient was taken up for immediate successful vascular repair. To best of our knowledge such a repair procedure has not been described in literature.
CONCLUSIONS
Majority of such vascular injuries are dealt with primary repair of the defect by a vascular surgeon; however in our case the rent was big and placed on the undersurface making it very difficult for the vascular surgeon to approach or repair it primarily.
背景
脊柱手术期间发生的主要血管损伤是一种罕见但最可怕的并发症。
病例介绍
一名39岁女性在接受显微腰椎间盘切除术时，术中突然出现严重低血压。手术中止，患者转为仰卧位。诊断为大血管撕裂，患者随即接受了成功的血管修复手术。据我们所知，文献中尚未描述过此类修复手术。
结论
大多数此类血管损伤由血管外科医生进行缺损的一期修复；然而在我们的病例中，裂口较大且位于下表面，这使得血管外科医生很难进行一期接近或修复。
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