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结核后慢性缩窄性心包炎患者行心包切除术时发生大血管静脉血栓形成：一种罕见情况。

Major vessel venous thrombosis in patients of posttubercular chronic constrictive pericarditis undergoing pericardectomy: A rare scenario.

作者信息

Pahade Akhilesh, Tewari Prabhat

机构信息

Department of CTVS, Fortis Hospital, New Delhi, India.

Department of Anaesthesiology, Sanjay Gandhi postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.

出版信息

Ann Card Anaesth. 2017 Jul-Sep;20(3):348-350. doi: 10.4103/aca.ACA_77_16.

DOI:10.4103/aca.ACA_77_16
PMID:28701604
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5535580/
Abstract

We are reporting two cases of neck and arm major venous thrombosis in patients of posttubercular chronic constrictive pericarditis posted for pericardectomy. There was unanticipated difficulty in placement of Internal Jugular vein catheter and subsequent ultrasound revealed thrombosis in the major veins. It was not diagnosed in the preoperative period. This report raises this major complication and highlights the use of ultrasound in such scenarios.

摘要

我们报告了两例患有结核后慢性缩窄性心包炎、计划进行心包切除术的患者发生颈部和手臂大静脉血栓形成的病例。颈内静脉导管置入过程中出现了意外困难，随后超声检查显示大静脉内有血栓形成。术前未诊断出该情况。本报告提出了这一主要并发症，并强调了超声在此类情况下的应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd4f/5535580/9676a0f43789/ACA-20-348-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd4f/5535580/e72f613cfb1f/ACA-20-348-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd4f/5535580/20b8b21b6acf/ACA-20-348-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd4f/5535580/2f8753489c78/ACA-20-348-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd4f/5535580/9676a0f43789/ACA-20-348-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd4f/5535580/e72f613cfb1f/ACA-20-348-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd4f/5535580/20b8b21b6acf/ACA-20-348-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd4f/5535580/2f8753489c78/ACA-20-348-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd4f/5535580/9676a0f43789/ACA-20-348-g004.jpg

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Major vessel venous thrombosis in patients of posttubercular chronic constrictive pericarditis undergoing pericardectomy: A rare scenario.结核后慢性缩窄性心包炎患者行心包切除术时发生大血管静脉血栓形成：一种罕见情况。
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本文引用的文献

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Right atrial thrombosis: association with constrictive pericarditis.
Ann Thorac Surg. 1990 Jan;49(1):145-6. doi: 10.1016/0003-4975(90)90376-h.