腹腔镜检查后的血管并发症：两例罕见病例。
Vascular complications following laparoscopy: two unusual cases.
作者信息
Ou C S
机构信息
Department of Research and Development, Northwest Hospital, Seattle, WA 98133, USA.
出版信息
JSLS. 1997 Apr-Jun;1(2):159-61.
BACKGROUND
Vascular complications following laparoscopic techniques may often be attributed to the incomplete control of bleeding sites at laparoscopy. When confronted with post-laparoscopy symptoms of hemodynamic insufficiency, the surgeon may infer the existence of hemorrhagic complications neglected at the laparoscopic session.
METHODS
The author reviewed two otherwise normal cases of laparoscopic procedures that were complicated by bleeding disorders of unknown origin.
RESULTS
Diagnosis and treatment of the hematologic complications revealed causes other than operator-inflicted injury.
CONCLUSIONS
While laparoscopists should remain vigilant concerning the very real threat of overlooked vascular injury following laparoscopy, some patients may exhibit hemorrhagic symptoms unrelated to the laparoscopic procedure.
背景
腹腔镜技术后的血管并发症往往可归因于腹腔镜检查时出血部位控制不完全。当面对腹腔镜检查后出现血流动力学不足的症状时，外科医生可能会推断存在腹腔镜检查时被忽视的出血并发症。
方法
作者回顾了两例原本正常的腹腔镜手术病例，这些病例并发了原因不明的出血性疾病。
结果
血液学并发症的诊断和治疗揭示了除手术操作造成的损伤之外的其他原因。
结论
虽然腹腔镜手术医生应时刻警惕腹腔镜检查后被忽视的血管损伤这一实际威胁，但有些患者可能会出现与腹腔镜手术无关的出血症状。
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