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腰椎静脉造影术后严重血栓栓塞并发症

[Severe thromboembolic complications following lumbar spinal phlebography].

作者信息

Gatti P, Valat J P, Videgrain M

出版信息

Sem Hop. 1983 Oct 27;59(39):2705-7.

PMID:6316525
Abstract

From a series of 400 cases of lumbar spine phlebography by selective catheterisation, 4 serious thrombo-embolic episodes were observed, including 2 cases of severe pulmonary embolism which responded favourably to medical treatment. In 3 cases, risk factors were found (prolonged immobilisation in bed past history of phlebitis). One case developed severe phlebitis of the lower limbs despite prophylactic treatment with low dose calcium heparin. In the other cases, no anticoagulant therapy was prescribed before or during the examination.

摘要

在通过选择性导管插入术进行的400例腰椎静脉造影系列病例中,观察到4例严重血栓栓塞事件,其中包括2例严重肺栓塞,经药物治疗后病情好转。3例发现有危险因素(长期卧床、既往有静脉炎病史)。1例尽管使用低剂量钙肝素进行预防性治疗,但仍发生了严重的下肢静脉炎。在其他病例中,检查前或检查期间均未进行抗凝治疗。

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