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一名年轻患者隆鼻术后出现海绵窦及全身性静脉血栓形成。

Cavernous sinus and generalized venous thrombosis following rhinoplasty in a young patient.

作者信息

Motamed Shariati Mohammad, Meymane Jahromi Ahmad

机构信息

Department of Plastic Surgery, Mashhad University of Medical Sciences, Ghaem Hospital, Mashhad, Iran.

Department of Otolarhngology, Mashhad University of Medical Sciences, Imam Reza Hospital, Mashhad, Iran.

出版信息

World J Plast Surg. 2012 Jul;1(2):107-11.

PMID:25734052
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4345430/
Abstract

Venous thromboembolism at lower age groups and in the absence of other known risk factors should raise doubt of underlying genetic disorders and thombophilia. It is discovered unexpectedly in various medical procedures and may cause severe complications and life threatening problems. In the current study, potentially life threatening complications of a genetic disorder in a previously healthy case is discussed. The important point in this case was delay onset of complication and its severity when was unexpectedly discovered. This situation may happen in almost every cosmetic operation and when the surgeon is not well prepared for managing this medical condition that it may lead to a dramatically poor prognosis for the patient.

摘要

在较低年龄组且无其他已知风险因素的情况下发生静脉血栓栓塞,应怀疑存在潜在的遗传疾病和易栓症。它在各种医疗程序中意外发现,可能导致严重并发症和危及生命的问题。在本研究中,讨论了一例先前健康的病例中一种遗传疾病的潜在危及生命的并发症。该病例的重点是并发症延迟发作及其意外发现时的严重程度。这种情况几乎可能发生在每一次美容手术中,当外科医生没有做好应对这种医疗状况的准备时,可能会导致患者预后极差。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fa2/4345430/524a4bebf0b8/wjps-1-107-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fa2/4345430/d9a3ddc85423/wjps-1-107-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fa2/4345430/89eaf982e110/wjps-1-107-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fa2/4345430/524a4bebf0b8/wjps-1-107-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fa2/4345430/d9a3ddc85423/wjps-1-107-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fa2/4345430/89eaf982e110/wjps-1-107-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fa2/4345430/524a4bebf0b8/wjps-1-107-g003.jpg

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本文引用的文献

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Hereditary coagulopathies: practical diagnosis and management for the plastic surgeon.遗传性凝血障碍:整形医师实用诊断与处理
Plast Reconstr Surg. 2010 May;125(5):1544-1552. doi: 10.1097/PRS.0b013e3181d51344.
2
Causal relationship of susceptibility genes to ischemic stroke: comparison to ischemic heart disease and biochemical determinants.易感性基因与缺血性脑卒中的因果关系:与缺血性心脏病及生化指标的比较。
PLoS One. 2010 Feb 9;5(2):e9136. doi: 10.1371/journal.pone.0009136.
3
Hyperhomocysteinaemia, low folate concentrations and methylene tetrahydrofolate reductase C677T mutation in acute mesenteric venous thrombosis.
高同型半胱氨酸血症、低叶酸浓度和亚甲基四氢叶酸还原酶 C677T 突变与急性肠系膜静脉血栓形成。
Eur J Vasc Endovasc Surg. 2010 Apr;39(4):508-13. doi: 10.1016/j.ejvs.2009.09.014. Epub 2009 Oct 20.
4
Homocysteine, methylenetetrahydrofolate reductase C677T polymorphism, and risk of retinal vein occlusion: a meta-analysis.同型半胱氨酸、亚甲基四氢叶酸还原酶C677T多态性与视网膜静脉阻塞风险:一项荟萃分析。
Ophthalmology. 2009 Sep;116(9):1778-1787.e1. doi: 10.1016/j.ophtha.2009.02.033.
5
Case-control Study of methylenetetrahydrofolate reductase mutations and hyperhomocysteinemia and risk of stroke.亚甲基四氢叶酸还原酶突变、高同型半胱氨酸血症与中风风险的病例对照研究
J Stroke Cerebrovasc Dis. 2009 Sep-Oct;18(5):407-8. doi: 10.1016/j.jstrokecerebrovasdis.2008.12.003.
6
Prevalence of thrombophilias in patients presenting for bariatric surgery.接受减肥手术患者的血栓形成倾向患病率。
Obes Surg. 2009 Sep;19(9):1278-85. doi: 10.1007/s11695-009-9906-7. Epub 2009 Jul 5.
7
Factors impacting thromboembolism after bariatric body contouring surgery.肥胖症体型塑形手术后影响血栓栓塞的因素。
Plast Reconstr Surg. 2007 Apr 15;119(5):1590-1596. doi: 10.1097/01.prs.0000256070.37066.7e.
8
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9
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