老年椎体骨质增生患者经食管超声心动图检查并发食管穿孔：一例报告并文献复习
Esophageal Perforation with Transesophageal Echocardiography in an Elderly Patient with Prominent Vertebral Osteophytes: A Case Report and a Review of the Literature.
作者信息
Royer Olivier, Couture Étienne J, Nicodème Frédéric, Kalavrousiotis Dimitri, Maruyama Takumi Codere, Denault André, Langevin Stephan
机构信息
Department of Anesthesiology and Critical Care, Université Laval, Québec, Québec, Canada.
Department of Anesthesiology and Critical Care, Université Laval, Quebec Heart and Lung Institute, Québec, Québec, Canada.
出版信息
CASE (Phila). 2020 Jul 25;4(5):331-336. doi: 10.1016/j.case.2020.06.006. eCollection 2020 Oct.
• Iatrogenic esophageal perforation due to TEE is associated with high mortality. • Vertebral osteophytes are a common radiologic finding in elderly patients. • Pressure applied by the TEE probe on osteophytes can lead to esophageal laceration. • Preoperative imaging should be reviewed before performing TEE. • Severe osteophytosis in the elderly may be a relative contraindication to TEE.
• 经食管超声心动图（TEE）导致的医源性食管穿孔与高死亡率相关。
• 椎体骨赘是老年患者常见的影像学表现。
• TEE探头对骨赘施加的压力可导致食管撕裂。
• 在进行TEE之前应复查术前影像。
• 老年人严重的骨赘形成可能是TEE的相对禁忌证。
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