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一名有下肢深静脉血栓形成病史的患者，踝关节开放性骨折后的血栓栓塞并发症。

Thromboembolic complications after an ankle joint open fracture in a patient with a history of deep vein thrombosis in the lower limbs.

作者信息

Stankowski Tomasz, Aboul-Hassan Sleiman Sebastian, Stępiński Piotr, Szymańska Anna, Marczak Jakub, Cichoń Romuald

机构信息

Department of Cardiac Surgery, Medinet Heart Center Ltd, Wrocław, Poland.

Department of Cardiac Surgery, Wroclaw Medical University, Wrocław, Poland.

出版信息

Kardiochir Torakochirurgia Pol. 2017 Mar;14(1):47-49. doi: 10.5114/kitp.2017.66930. Epub 2017 Mar 31.

DOI:10.5114/kitp.2017.66930
PMID:28515749
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5404128/
Abstract

A 55-year-old patient was admitted to the Department of Orthopedics due to an open fracture in the right ankle joint. On the seventh day of hospitalization the patient experienced a transient ischemic attack. During the next day, dyspnea, chest pain and a 'rider' type pulmonary embolism in the pulmonary trunk occluding both pulmonary arteries and its branches were diagnosed. The patient was transferred to the Department of Cardiac Surgery. He underwent pulmonary embolectomy for massive pulmonary, right and left atrial embolism, and left ventricular embolism. ASD II was closed during this procedure. Ultrasonography with Doppler was performed 6 days after the surgery and revealed deep vein thrombosis, so the patient was transferred to the Department of Vascular Surgery for temporary inferior vena cava filter placement at the time of orthopedic surgery. The next day after implantation of the filter, the lower limb was operated on, and 14 days after orthopedic surgery, the vena cava filter was removed.

摘要

一名55岁患者因右踝关节开放性骨折入住骨科。住院第七天，患者经历了一次短暂性脑缺血发作。次日，诊断出患者出现呼吸困难、胸痛以及“骑跨型”肺栓塞，肺动脉主干阻塞了双侧肺动脉及其分支。患者被转至心脏外科。他接受了针对大面积肺栓塞、左右心房栓塞以及左心室栓塞的肺动脉栓子切除术。在此手术过程中，闭合了继发孔型房间隔缺损。术后6天进行了多普勒超声检查，发现存在深静脉血栓形成，于是患者在骨科手术时被转至血管外科进行临时下腔静脉滤器置入。滤器植入次日对下肢进行了手术，骨科手术后14天取出了腔静脉滤器。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76a9/5404128/3e0e62618730/KITP-14-29725-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76a9/5404128/2d26fca7c84c/KITP-14-29725-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76a9/5404128/1b8db16968b6/KITP-14-29725-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76a9/5404128/3c1be07ed18b/KITP-14-29725-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76a9/5404128/3e0e62618730/KITP-14-29725-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76a9/5404128/2d26fca7c84c/KITP-14-29725-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76a9/5404128/1b8db16968b6/KITP-14-29725-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76a9/5404128/3c1be07ed18b/KITP-14-29725-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76a9/5404128/3e0e62618730/KITP-14-29725-g004.jpg

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