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颈椎融合术后颈部血肿处理中的临床挑战与手术干预：一例报告

Clinical Challenges and Surgical Interventions in Managing Neck Hematoma After Cervical Spine Fusion: A Case Report.

作者信息

Rana Parimal, Turcotte Justin, Zaidi Sohail

机构信息

Luminis Health Orthopedics at Anne Arundel Medical Center, 2000 Medical Parkway, Suite 503, Annapolis 21401, Maryland, USA.

出版信息

Case Rep Surg. 2024 Oct 4;2024:3173782. doi: 10.1155/2024/3173782. eCollection 2024.

DOI:10.1155/2024/3173782
PMID:39398298
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11469930/
Abstract

This case study discusses a 47-year-old Caucasian male with a past medical history of dyslipidemia, gastroesophageal reflux disease, previous cervical spine surgery, and anxiety who developed a neck hematoma postrevision of a C5-6 cervical spine fusion. Emergent neck exploration and evacuation of the hematoma were performed, and ventilation was restored. The patient was transferred to the intensive care unit and extubated on postoperative day 5 with a stable wound and no residual bleeding. At the 3-week follow-up appointment, the patient was noted to be doing well, with a chest radiograph showing no effusion or hematoma. This report elucidates the challenges posed by acute clinical symptoms and their correlation with the underlying cause, as well as the subsequent management and outcomes of a neck hematoma complication following cervical spine surgery.

摘要

本病例研究讨论了一名47岁的白种男性，他有血脂异常、胃食管反流病、既往颈椎手术史和焦虑症病史，在C5-6颈椎融合翻修术后出现颈部血肿。进行了紧急颈部探查和血肿清除，并恢复了通气。患者被转入重症监护病房，术后第5天拔管，伤口稳定，无残留出血。在3周的随访预约中，患者情况良好，胸部X光片显示无积液或血肿。本报告阐明了急性临床症状带来的挑战及其与潜在病因的相关性，以及颈椎手术后颈部血肿并发症的后续处理和结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a1b/11469930/cc1fbd5de995/CRIS2024-3173782.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a1b/11469930/e100a9eaae83/CRIS2024-3173782.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a1b/11469930/c150b4bd5618/CRIS2024-3173782.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a1b/11469930/273a79f42dce/CRIS2024-3173782.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a1b/11469930/cc1fbd5de995/CRIS2024-3173782.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a1b/11469930/e100a9eaae83/CRIS2024-3173782.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a1b/11469930/c150b4bd5618/CRIS2024-3173782.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a1b/11469930/273a79f42dce/CRIS2024-3173782.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a1b/11469930/cc1fbd5de995/CRIS2024-3173782.004.jpg

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Frequency, recognition, and management of postoperative hematomas following anterior cervical spine surgery: A review.颈椎前路手术后血肿的发生率、识别与处理：综述
Surg Neurol Int. 2020 Oct 21;11:356. doi: 10.25259/SNI_669_2020. eCollection 2020.
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Spontaneous Spinal Subdural Hematoma Mimicking Myocardial Infarction.
酷似心肌梗死的自发性脊髓硬膜下血肿。
Cureus. 2020 Jul 30;12(7):e9486. doi: 10.7759/cureus.9486.
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Strategies to Achieve Spinal Fusion in Multilevel Anterior Cervical Spine Surgery: An Overview.多节段颈椎前路手术中实现脊柱融合的策略：综述
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Anterior Cervical Discectomy and Fusion in the Outpatient Ambulatory Surgery Setting: Analysis of 2000 Consecutive Cases.门诊手术环境下的颈椎前路椎间盘切除融合术：2000 例连续病例分析。
Neurosurgery. 2020 Mar 1;86(3):E310-E315. doi: 10.1093/neuros/nyz514.
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Complication avoidance and management in ambulatory spine surgery.门诊脊柱手术中的并发症预防与处理
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Incidence, Risk Factors, and Clinical Implications of Postoperative Hematoma Requiring Reoperation Following Anterior Cervical Discectomy and Fusion.颈椎前路椎间盘切除融合术后再次手术治疗血肿的发生率、风险因素及临床意义。
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