CAJ | 학술논문

目的提高对经皮椎体成形术后合并骨水泥肺栓塞的认识.方法对1例骨水泥肺栓塞患者的临床资料进行分析,并结合文献复习.结果经皮椎体成形术可合并骨水泥肺栓塞,临床表现为胸痛、呼吸困难、呼吸衰竭等,X线胸片示肺内射线不能透过的管状影.给予吸氧、抗凝及相关支持治疗,病情可好转.结论应提高对经皮椎体成形术后骨水泥肺栓塞的认识,通过积极预防可能减少发生率,确诊后积极治疗可改善预后,对于大的骨水泥肺栓塞应行手术取栓.
목적 제고대경피추체성형술후합병골수니폐전새적인식.방법 대1례골수니폐전새환자적림상자료진행분석,병결합문헌복습.결과 경피추체성형술가합병골수니폐전새,림상표현위흉통、호흡곤난、호흡쇠갈등,X선흉편시폐내사선불능투과적관상영.급여흡양、항응급상관지지치료,병정가호전.결론 응제고대경피추체성형술후골수니폐전새적인식,통과적겁예방가능감소발생솔,학진후적겁치료가개선예후,대우대적골수니폐전새응행수술취전.
Objective To highlight the characteristics of pulmonary cement embolism following percutaneous vertebroplasty.Methods One patient with pulmonary cement embolism was presented and the literature on the subject was reviewed.Results Pulmonary cement embolism may follow with percutaneous vertebroplasty,characterized with chest pain,dyspnea,even respiratory failure.Chest radiography revealed some small tubular radiopacity in the lung.Oxygen aspiration,anticoagulation and other relative support therapies were put to use,the patient made an uneventful recovery.Conclusions This case illustrates that clinicians must be aware of the potential occurrence of pulmonary cement embolism in patients who have received percutaneous vertebroplasty.Precautions are reasonable to avoid or lower the risk of bone cement embolism.Large cement mass is a threat for complete occlusion of the pulmonary artery with subsequent lung infarction,pulmonary embolectomy is proposed to remove the large foreign body.