Department of Surgery, Phoenix Children's Hospital, Phoenix, Arizona; University of Arizona College of Medicine Phoenix, Phoenix, Arizona; Department of Surgery, Mayo Clinic Arizona, Phoenix, Arizona.
Department of Surgery, Phoenix Children's Hospital, Phoenix, Arizona; University of Arizona College of Medicine Phoenix, Phoenix, Arizona; Department of Surgery, Mayo Clinic Arizona, Phoenix, Arizona.
Ann Thorac Surg. 2014 Sep;98(3):1104-6. doi: 10.1016/j.athoracsur.2013.10.097.
We present a case of life-threatening hemorrhage occurring during Nuss bar removal without obvious cardiac or major vascular injury. A 19-year-old woman with marfanoid features had undergone a Nuss procedure 3 years earlier for a pectus index of 7.2. A lateral chest radiograph revealed erosion of the upper bar into the sternum. During surgery, a 3.5-L blood loss occurred after removal of the eroded bar. This case provided many opportunities to improve preparedness for bar removal.
我们报告一例在移除 Nuss 矫正棒时发生危及生命的大出血的病例,该患者无明显心脏或大血管损伤。一名 19 岁女性,马凡样特征,3 年前因胸壁指数为 7.2 行 Nuss 手术。侧位胸片显示矫正棒侵蚀胸骨。手术中,在移除侵蚀的矫正棒后发生 3.5 升的失血。该病例为提高矫正棒移除的准备工作提供了许多机会。