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经食管超声心动图引导心房颤动消融术后并发深部颈部间隙感染

Deep Neck Space Infection as a Complication of Transesophageal Echocardiogram for Atrial Flutter Ablation.

作者信息

Shrestha Anish K, Faisal Naffa, Bali Kanchana, Safi Nadine, Mesalles Maria E, Saleh Nahar

机构信息

MedStar Health Internal Medicine Residency Program, Baltimore, MD, United States.

MedStar Health Internal Medicine Program, Baltimore, MD, United States.

出版信息

J Community Hosp Intern Med Perspect. 2025 Jul 3;15(4):108-111. doi: 10.55729/2000-9666.1520. eCollection 2025.

DOI:10.55729/2000-9666.1520
PMID:40757218
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12315896/
Abstract

Transesophageal echocardiography is a relatively safe procedure; however, there are rare complications associated with it. Multiple attempts during TEE can lead to injury of hypopharyngeal or parapharyngeal wall leading to an infection. Here, we describe a case of hypopharyngeal-parapharyngeal abscess resulting from multiple TEE attempts during cardioversion leading to a prolonged hospital course.

摘要

经食管超声心动图检查是一种相对安全的检查方法；然而，它也存在一些罕见的并发症。经食管超声心动图检查过程中的多次尝试可能导致下咽或咽旁壁损伤，进而引发感染。在此，我们描述一例因心脏复律期间多次进行经食管超声心动图检查尝试而导致下咽-咽旁脓肿的病例，该病例导致住院时间延长。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1606/12315896/d484ffd547ff/jchim-15-04-108f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1606/12315896/36831a5ac34a/jchim-15-04-108f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1606/12315896/2d73d18bee38/jchim-15-04-108f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1606/12315896/d484ffd547ff/jchim-15-04-108f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1606/12315896/36831a5ac34a/jchim-15-04-108f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1606/12315896/2d73d18bee38/jchim-15-04-108f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1606/12315896/d484ffd547ff/jchim-15-04-108f3.jpg

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本文引用的文献

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Idiopathic hypopharyngeal perforation presenting as supraglottitis and parapharyngeal abscess: case report and literature review.表现为会厌炎和咽旁脓肿的特发性下咽穿孔：病例报告及文献综述
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Iatrogenic Deep Neck Infection Secondary to Transesophageal Echocardiography.经食管超声心动图检查继发的医源性深部颈部感染
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Oesophageal perforation following transoesophageal echocardiography: A case report on successful conservative management.经食管超声心动图检查后食管穿孔：成功保守治疗的病例报告
Int J Surg Case Rep. 2019;61:161-164. doi: 10.1016/j.ijscr.2019.07.039. Epub 2019 Jul 19.
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