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[颈内静脉血栓性静脉炎:颈部肿瘤手术的并发症。病例报告]

[Internal jugular thrombophlebitis: complications of the cervical oncological surgery. A case report].

作者信息

Alvarez Marcos C A, Noval Menéndez J, Alfonso Megido J, Domínguez Iglesias F, Hevia Llama R, Ramos Barriga M A

机构信息

Servicio de ORL, Hospital Valle del Nalón, Langreo Asturias.

出版信息

Acta Otorrinolaringol Esp. 1995 Mar-Apr;46(2):141-4.

PMID:7598966
Abstract

Internal jugular vein thrombophlebitis is an infrequent complications, associated in the past to pharyngeal and amygdaline infections but related today to the use of catheters and intravenous drugs. The present paper reports the case of a patient who underwent total laryngectomy and functional neck dissection, developing recurrent neumonias and sepsis in the postoperative period which were secondary to an homolateral jugular thrombophlebitis. A physical exploration with no findings and the poor resolution of CT scan and ultrasound due to postsurgical alterations, lead to a late diagnosis and fatal evolution, in spite of the medical and surgical treatment.

摘要

颈内静脉血栓性静脉炎是一种罕见的并发症,过去与咽部和扁桃体感染有关,但如今与导管使用及静脉药物有关。本文报告了一例患者,该患者接受了全喉切除术和功能性颈清扫术,术后因同侧颈静脉血栓性静脉炎继发反复发生肺炎和败血症。体格检查未发现异常,由于手术改变导致CT扫描和超声检查分辨率不佳,尽管进行了药物和手术治疗,仍导致了延迟诊断和致命的病情发展。

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