一例胸主动脉腔内修复术后弥散性血管内凝血病例
A Case of Disseminated Intravascular Coagulation after Thoracic Endovascular Aortic Repair.
作者信息
Kotani Shinsuke
机构信息
Department of Cardiovascular Surgery, Bell Land General Hospital, Sakai, Osaka, Japan.
出版信息
Ann Vasc Dis. 2015;8(4):334-6. doi: 10.3400/avd.cr.15-00103. Epub 2015 Nov 25.
Abstract
I report a hemorrhagic complication due to disseminated intravascular coagulation after thoracic endovascular aortic repair for a dissecting aortic aneurysm. A 74-year-old man underwent thoracic endovascular aortic repair and carotid-carotid artery bypass to close the primary entry site of the dissecting aortic aneurysm. Postoperatively, he developed a gradually expanding cervical hematoma. Laboratory data showed disseminated intravascular coagulation. He could not extubated until postoperative day 6 because of the risk of airway obstruction. He was treated with transfusion to replenish the coagulation factor. Disseminated intravascular coagulation may occur secondary to thrombus formation in the false lumen after thoracic endovascular aortic repair.
摘要
我报告一例因胸主动脉夹层动脉瘤行胸主动脉腔内修复术后发生弥散性血管内凝血导致的出血并发症。一名74岁男性接受了胸主动脉腔内修复术和颈动脉-颈动脉旁路移植术以封闭胸主动脉夹层动脉瘤的原发破口。术后，他出现了逐渐增大的颈部血肿。实验室检查显示存在弥散性血管内凝血。由于有气道梗阻风险，直到术后第6天他才得以拔管。给予他输血治疗以补充凝血因子。胸主动脉腔内修复术后，假腔内血栓形成可能继发弥散性血管内凝血。
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