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胸椎肿瘤手术期间发生气胸并伴有低血压后出现截瘫

Paraplegia after Hypotension with Pneumothorax Episode during Thoracic Spine Tumor Surgery.

作者信息

Liu Zhao-Quan, Liao Jen-Hsien, Chang Chih-Ju

机构信息

Department of Neurosurgery, Cathay General Hospital, Taipei City, Taiwan.

Department of Anesthesiology, Cathay General Hospital, Taipei City, Taiwan.

出版信息

Case Rep Neurol Med. 2021 Oct 23;2021:2232769. doi: 10.1155/2021/2232769. eCollection 2021.

DOI:10.1155/2021/2232769
PMID:34725574
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8557050/
Abstract

Paraplegia after spine surgery is a catastrophic complication. Here, we present a patient who, following laminectomy and fusion for decompression of metastatic tumor, developed paraplegia. We tried to find out the possible reason for the paraplegia. Due to prolonged hypotension during operation and new onset of pneumothorax, we think that intraoperative prolonged hypotension leads to the spinal cord ischemia which may cause neurological deterioration of paraplegia. Maintaining hemodynamic stability during spinal surgery is very important.

摘要

脊柱手术后的截瘫是一种灾难性并发症。在此，我们报告一名患者，其在因转移性肿瘤减压而行椎板切除及融合术后发生了截瘫。我们试图找出截瘫的可能原因。由于手术期间出现长时间低血压以及新发气胸，我们认为术中长时间低血压导致脊髓缺血，这可能引起截瘫的神经功能恶化。在脊柱手术期间维持血流动力学稳定非常重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4ed/8557050/d868a2ff75a2/CRINM2021-2232769.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4ed/8557050/e0156297c37f/CRINM2021-2232769.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4ed/8557050/20244fd40bea/CRINM2021-2232769.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4ed/8557050/252ab1d7ccfd/CRINM2021-2232769.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4ed/8557050/f8bd33e1c0e1/CRINM2021-2232769.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4ed/8557050/d868a2ff75a2/CRINM2021-2232769.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4ed/8557050/e0156297c37f/CRINM2021-2232769.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4ed/8557050/20244fd40bea/CRINM2021-2232769.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4ed/8557050/252ab1d7ccfd/CRINM2021-2232769.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4ed/8557050/f8bd33e1c0e1/CRINM2021-2232769.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4ed/8557050/d868a2ff75a2/CRINM2021-2232769.005.jpg

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Detection and Management of Intraoperative Pneumothorax during Laparoscopic Cholecystectomy.腹腔镜胆囊切除术中术中气胸的检测与处理
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