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经皮椎体成形术后床边超声心动图诊断心内骨水泥栓塞:病例报告。

Bedside echocardiography for diagnosis of intracardiac cement embolism after percutaneous vertebroplasty: A case report.

机构信息

Department of Ultrasound, The Affiliated Hospital of Jining Medical University, Jining, China.

出版信息

J Card Surg. 2021 Oct;36(10):3929-3932. doi: 10.1111/jocs.15830. Epub 2021 Jul 19.

Abstract

This case report is to demonstrate that a female patient had suddenly become unconscious 14 hours after percutaneous vertebroplasty. Bedside echocardiogram showed that the patient had a strong echo in the right heart with a small amount of pericardial effusion. CT showed high density in the distal branches of both pulmonary arteries and a high density in the right heart. With the help of that, the doctor made the diagnosis of intracardiac cement embolism in a very short time. The bone cement in the heart was removed under emergency cardiopulmonary bypass, then the patient was discharged smoothly.

摘要

本病例报告旨在展示一位女性患者在经皮椎体成形术后 14 小时突然意识丧失。床边超声心动图显示患者右心回声强,少量心包积液。CT 显示肺动脉远端分支密度增高,右心密度增高。借助这些,医生在很短的时间内做出了心脏内骨水泥栓塞的诊断。在心外循环下紧急取出心脏内的骨水泥,随后患者顺利出院。

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