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骨水泥渗漏致肺栓塞和心内异物：1 例病例报告并文献复习。

Pulmonary embolism and intracardiac foreign bodies caused by bone cement leakage: a case report and literature review.

机构信息

Cardiac Department, Aerospace Center Hospital, Beijing, China.

Peking University Aerospace School of Clinical Medicine, Beijing, China.

出版信息

J Cardiothorac Surg. 2024 Sep 23;19(1):544. doi: 10.1186/s13019-024-03049-3.

DOI:10.1186/s13019-024-03049-3
PMID:39307888
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11418192/
Abstract

Percutaneous vertebroplasty (PVP) is a surgical procedure that involves injecting polymethylmethacrylate (PMMA) bone cement into the diseased vertebrae to rapidly relieve pain and strengthen the vertebrae. We reported a 73-year-old patient who underwent percutaneous vertebroplasty (PVP) surgery for thoracolumbar vertebral compression fracture. After the surgery, the patient experienced symptoms such as chest tightness and dyspnea. Further examination revealed multiple high-density foreign bodies in the blood vessels/heart and concomitant multi-organ dysfunction. It was considered that the multi-organ embolism was caused by bone cement leakage. The patient improved after undergoing surgical treatment and anticoagulant therapy.

摘要

经皮椎体成形术（PVP）是一种将聚甲基丙烯酸甲酯（PMMA）骨水泥注入病变椎体以迅速缓解疼痛和增强椎体的手术。我们报告了一例 73 岁的患者，他因胸腰椎压缩性骨折接受了经皮椎体成形术（PVP）手术。手术后，患者出现胸闷、呼吸困难等症状。进一步检查发现血管/心脏内有多个高密度异物，并伴有多器官功能障碍。考虑多器官栓塞是由骨水泥渗漏引起的。患者接受手术治疗和抗凝治疗后病情好转。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1765/11418192/4bc9a7e04519/13019_2024_3049_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1765/11418192/1f59ebc85434/13019_2024_3049_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1765/11418192/659dda79ae11/13019_2024_3049_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1765/11418192/80fea8ae241b/13019_2024_3049_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1765/11418192/4bc9a7e04519/13019_2024_3049_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1765/11418192/1f59ebc85434/13019_2024_3049_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1765/11418192/659dda79ae11/13019_2024_3049_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1765/11418192/80fea8ae241b/13019_2024_3049_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1765/11418192/4bc9a7e04519/13019_2024_3049_Fig4_HTML.jpg

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Front Cardiovasc Med. 2023 Jul 18;10:1221525. doi: 10.3389/fcvm.2023.1221525. eCollection 2023.
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