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An Unusual Cause of Hypoxemia after Orthopedic Surgery on an Elderly Patient.

作者信息

Carvalho Pedro, Meireles Daniela, Martins José Luís, Costa Marco, Neves Ana Briosa

机构信息

Centro Hospitalar do Baixo Vouga - Cardiology Department, Aveiro - Portugual.

Centro Hospitalar do Baixo Vouga - Internal Medicine Department,Aveiro - Portugal.

出版信息

Arq Bras Cardiol. 2022 Mar;118(3):659-662. doi: 10.36660/abc.20210409.

DOI:10.36660/abc.20210409
PMID:35319616
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8959027/
Abstract
摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88a8/8959027/ff318ea71d30/0066-782X-abc-118-03-0659-gf03-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88a8/8959027/528e94d4717d/0066-782X-abc-118-03-0659-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88a8/8959027/7a8e5e719398/0066-782X-abc-118-03-0659-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88a8/8959027/4ae13fd12b6a/0066-782X-abc-118-03-0659-gf03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88a8/8959027/528e94d4717d/0066-782X-abc-118-03-0659-gf01-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88a8/8959027/08abbd6e63f0/0066-782X-abc-118-03-0659-gf02-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88a8/8959027/ff318ea71d30/0066-782X-abc-118-03-0659-gf03-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88a8/8959027/528e94d4717d/0066-782X-abc-118-03-0659-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88a8/8959027/7a8e5e719398/0066-782X-abc-118-03-0659-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88a8/8959027/4ae13fd12b6a/0066-782X-abc-118-03-0659-gf03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88a8/8959027/528e94d4717d/0066-782X-abc-118-03-0659-gf01-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88a8/8959027/08abbd6e63f0/0066-782X-abc-118-03-0659-gf02-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88a8/8959027/ff318ea71d30/0066-782X-abc-118-03-0659-gf03-en.jpg

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本文引用的文献

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European position paper on the management of patients with patent foramen ovale. Part II - Decompression sickness, migraine, arterial deoxygenation syndromes and select high-risk clinical conditions.欧洲卵圆孔未闭患者管理立场文件。第二部分 - 减压病、偏头痛、动脉低氧血症综合征和某些高危临床情况。
EuroIntervention. 2021 Aug 6;17(5):e367-e375. doi: 10.4244/EIJ-D-20-00785.
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A rare post-lobectomy complication of right-to-left shunt via foramen ovale.卵圆孔右向左分流术后罕见的术后并发症。
Gen Thorac Cardiovasc Surg. 2020 Nov;68(11):1337-1340. doi: 10.1007/s11748-019-01238-9. Epub 2019 Nov 8.
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European position paper on the management of patients with patent foramen ovale. General approach and left circulation thromboembolism.
欧洲卵圆孔未闭患者管理立场文件。一般方法与左循环血栓栓塞
EuroIntervention. 2019 Jan 20;14(13):1389-1402. doi: 10.4244/EIJ-D-18-00622.
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Platypnoea-orthodeoxia syndrome, an underdiagnosed cause of hypoxaemia: four cases and the possible underlying mechanisms.中隔-正氧合性低血氧症综合征，一种被低估的低血氧症病因：四例病例及可能的潜在机制。
Neth Heart J. 2015 Nov;23(11):539-45. doi: 10.1007/s12471-015-0714-5.
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Patent foramen ovale causing severe hypoxemia due to right-to-left shunting in patients without pulmonary hypertension. Clinical suspicion clues for diagnosis and treatment.在无肺动脉高压的患者中，卵圆孔未闭因右向左分流导致严重低氧血症。诊断和治疗的临床疑似线索。
Rev Esp Cardiol (Engl Ed). 2014 Apr;67(4):324-5. doi: 10.1016/j.rec.2013.09.032. Epub 2014 Feb 10.
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Anatomical factors triggering platypnea-orthodeoxia in adults.引发成人直立性呼吸困难-低氧血症的解剖学因素。
Clin Cardiol. 2009 Nov;32(11):E55-7. doi: 10.1002/clc.20461.
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Diagnosis of congenital cardiac right-to-left shunts with 99mTc-macroaggregated albumin.
Vet Radiol Ultrasound. 2004 Mar-Apr;45(2):97-102. doi: 10.1111/j.1740-8261.2004.04016.x.
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Right hemidiaphragmatic elevation with a right-to-left interatrial shunt through a patent foramen ovale: a case report and literature review.
Chest. 2001 Dec;120(6):2094-6. doi: 10.1378/chest.120.6.2094.