双侧上肢骨折手术固定后发生急性肺栓塞的罕见病例——病例报告
A rare incidence of acute pulmonary embolism following surgical fixation of bilateral upper extremity fractures - A case report.
作者信息
Zackariya Mohamed, Nandakumar Sanjana, Jayaramaraju Dheenadhayalan, Agraharam Devendra, Shanmuganathan Rajasekaran
机构信息
Department of Orthopaedic Trauma, Ganga Medical Centre & Hospitals Pvt Ltd, Coimbatore, Tamil Nadu, India.
Department of Orthopaedics and Spine Surgery, Ganga Medical Centre & Hospitals Pvt Ltd, Coimbatore, Tamil Nadu, India.
出版信息
Trauma Case Rep. 2025 Jan 4;55:101133. doi: 10.1016/j.tcr.2025.101133. eCollection 2025 Feb.
CASE
A 52-year-old male fell from his bike and sustained fractures of the right proximal humerus and the left distal radius, both of which were fixed in a single sitting a day after the injury. On postoperative day four, the patient developed features suggestive of acute pulmonary embolism.
CONCLUSION
Reports of acute pulmonary embolism developing after surgical fixation of bilateral upper extremity fractures are rare. A high index of suspicion especially in patients with predisposing risk factors is essential to identify the signs of a thromboembolic event and initiate appropriate intervention.
病例
一名52岁男性从自行车上摔下，导致右肱骨近端和左桡骨远端骨折，受伤后一天内对两处骨折进行了一次性固定。术后第四天，患者出现提示急性肺栓塞的症状。
结论
双侧上肢骨折手术固定后发生急性肺栓塞的报告很少见。对于有易患风险因素的患者，保持高度怀疑指数对于识别血栓栓塞事件的体征并启动适当干预至关重要。
Zotero 插件