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关节镜下前交叉韧带重建术后双侧肺栓塞:一例报告

Bilateral pulmonary embolism after arthroscopic anterior cruciate ligament reconstruction: A case report.

作者信息

Koaban Saeed, Alatassi Raheef, Ahmed Bandar, Alogayyel Nawaf

机构信息

Security Forces Hospital, Department of Orthopedic Surgery, P.O. Box: 3643, Riyadh, 11481, Saudi Arabia.

King Saud bin Abdulaziz University for Health Sciences, College of Medicine, P.O. Box: 22490, Riyadh, 11426, Saudi Arabia.

出版信息

Int J Surg Case Rep. 2018;49:64-66. doi: 10.1016/j.ijscr.2018.06.021. Epub 2018 Jun 28.

Abstract

INTRODUCTION

Venous thromboembolism is a serious complication in orthopedic surgery. It is very common in major surgery, such as total hip arthroplasty. However, few reports have described the incidence of pulmonary embolism and its associated risk factors following less invasive surgery, such as arthroscopic knee surgery.

PRESENTATION OF CASE

We describe a rare presentation of a young man with bilateral pulmonary embolism of the main pulmonary arteries following arthroscopic anterior cruciate ligament reconstruction.

DISCUSSION

The present patient is different from other similar cases in that he was an active healthy man without any risk factors for the development of thrombosis. Despite this, he experienced a bilateral pulmonary embolism one week after knee arthroscopy.

CONCLUSION

Although anterior cruciate ligament reconstruction is a common and safe procedure performed on a daily basis, unexpected complications may occur. One of these is venous thromboembolism which may be fatal.

摘要

引言

静脉血栓栓塞是骨科手术中的一种严重并发症。在诸如全髋关节置换术等大手术中非常常见。然而,很少有报告描述诸如关节镜膝关节手术等微创手术后肺栓塞的发生率及其相关危险因素。

病例介绍

我们描述了一名年轻男性在关节镜下前交叉韧带重建术后出现双侧主肺动脉肺栓塞的罕见病例。

讨论

该患者与其他类似病例不同之处在于,他是一名活跃健康的男性,没有任何发生血栓形成的危险因素。尽管如此,他在膝关节镜检查一周后发生了双侧肺栓塞。

结论

虽然前交叉韧带重建是日常进行的常见且安全的手术,但可能会出现意外并发症。其中之一是静脉血栓栓塞,可能会致命。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9df0/6039889/294230a2bbad/gr1.jpg

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