腰椎前路椎间融合术后左髂总动脉进行性血栓形成闭塞
Progressive thrombotic occlusion of the left common iliac artery after anterior lumbar interbody fusion.
作者信息
Khazim R, Boos N, Webb J K
机构信息
Centre for Spinal Studies and Surgery, University Hospital, Queen's Medical Centre, Nottingham, United Kingdom.
出版信息
Eur Spine J. 1998;7(3):239-41. doi: 10.1007/s005860050064.
Abstract
We report a case of progressive thrombotic occlusion of the left common iliac artery in a 41-year-old woman after anterior interbody fusion, which initially presented only as a sensation of numbness. Diagnosis was delayed until complete arterial occlusion occurred 36 h after surgery. A sensory deficit may be the only early sign of a progressive thrombotic arterial occlusion. In anterior spinal surgery, routine postoperative vascular monitoring of the lower extremities is recommended and mandatory for early diagnosis and treatment of this rare complication.
摘要
我们报告了一例41岁女性在前路椎间融合术后发生左髂总动脉进行性血栓闭塞的病例，该病例最初仅表现为麻木感。诊断延迟至术后36小时出现完全动脉闭塞。感觉障碍可能是进行性血栓性动脉闭塞的唯一早期迹象。在前路脊柱手术中，建议常规对下肢进行术后血管监测，对于早期诊断和治疗这种罕见并发症是必不可少的。
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