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氧化纤维素(外科用止血纤维)导致术后马尾综合征

Oxidized Cellulose (Surgicel) Causing Postoperative Cauda Equine Syndrome.

作者信息

Rustagi Tarush, Patel Kunal, Kadrekar Sujit, Jain Akshay

机构信息

Department of Spine Surgery, Indian Spinal Injuries Center, New Delhi.

Department of Orthopedics and Joint Replacement, Punit Orthopedic Hospital, Mumbai.

出版信息

Cureus. 2017 Jul 21;9(7):e1500. doi: 10.7759/cureus.1500.

Abstract

Hemostatic agents are often used in spine surgery to control excessive bleeding. Oxidized cellulose (OC) is a common hemostatic agent used for this purpose. We present a case of postoperative cauda equina syndrome caused by Surgicel (Johnson & Johnson, New Jersey, US). An emergent decompression led to complete recovery. All attempts should be made to remove OC before closure after hemostasis has been achieved.

摘要

止血剂常用于脊柱手术中控制过度出血。氧化纤维素(OC)是用于此目的的一种常见止血剂。我们报告一例由强生公司(美国新泽西州)生产的速即纱导致的术后马尾综合征病例。紧急减压后患者完全康复。止血完成后,应在缝合前尽一切努力清除氧化纤维素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5284/5608483/d5c7834ebb81/cureus-0009-00000001500-i01.jpg

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