经食管超声心动图检测到骨水泥植入综合征中的大量栓子：一例报告。
Massive mass embolism detected by transesophageal echocardiography in bone cement implantation syndrome: a case report.
作者信息
Izumi Yuki, Ishihara Satoshi, Cammack Ivor, Miyawaki Ikuko
机构信息
Department of Anesthesiology and Critical Care, Teine Keijinkai Hospital, 006-0085 12-1-40, 1-jo, Maeda, Teine-ku, Sapporo, Hokkaido, Japan.
Department of Clinical Residency, Teine Keijinkai Hospital, 006-0085, 12-1-40, 1-jo, Maeda, Teine-ku, Sapporo, Hokkaido, Japan.
出版信息
JA Clin Rep. 2019 Jan 24;5(1):5. doi: 10.1186/s40981-019-0225-2.
Bone cement implantation syndrome (BCIS) is a known complication in patients undergoing cemented orthopedic surgeries; however, the etiology and pathophysiology of BCIS are not fully understood. We report the case of a patient who developed pulseless electrical activity (PEA) due to BCIS after cemented femoral head replacement. Transesophageal echocardiography (TEE) during PEA revealed a massive embolus extending from the main pulmonary artery to the inferior vena cava. Of note, this embolus disappeared completely and rapidly after return of spontaneous circulation. TEE proved to be useful in the diagnosis and management of this case of PEA.
骨水泥植入综合征（BCIS）是接受骨水泥型骨科手术患者中一种已知的并发症；然而，BCIS的病因和病理生理学尚未完全明确。我们报告一例在股骨头置换术后因BCIS发生无脉性电活动（PEA）的患者。在发生PEA期间经食管超声心动图（TEE）显示一个巨大栓子从主肺动脉延伸至下腔静脉。值得注意的是，自主循环恢复后该栓子迅速完全消失。TEE在该PEA病例的诊断和处理中被证明是有用的。
Zotero 插件