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腰硬联合麻醉后体位变动致肺栓塞1例 被引量:1

Pulmonary embolism due to changing body position after combined spinal epidural anesthesia:a case report
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摘要 1病例资料患者,女,61岁,因"摔倒致右髋部疼痛3h余"入院,诊断为"右股骨颈骨折"。既往无心肺系统疾病。血分析、生化、凝血等检查未见异常,心电图提示T波改变。心脏彩超、胸片未见明显异常(见图1)。入院后予卧床牵引制动并拟第6天在腰硬联合麻醉下行右全髋关节置换术。手术当天入室后予心电监护,呼吸20次/min、心率88次/min、 Pulmonary embolism is one of the most dangerous complications of surgery during perioperative period,especially for the orthopedic surgery.As an acute cardiovascular disease,its clinical symptom is obscure but the mortality rate is high.We report a case of pulmonary embolism due to changing body position after combined spinal epidural anesthesia.Through our early diagnosis and instant treatment,the patient gained the chance for survival and finally had a good recovery.
出处 《临床急诊杂志》 CAS 2016年第11期888-889,共2页 Journal of Clinical Emergency
关键词 肺栓塞 体位 股骨颈骨折 腰硬联合麻醉 pulmonary embolism body position femoral neck fracture combined spinal epidural anesthesia
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