整形外科と災害外科
Online ISSN : 1349-4333
Print ISSN : 0037-1033
ISSN-L : 0037-1033
脊髄損傷術後に中心静脈カテーテルによると考えられる肺塞栓症を合併した1例
甲斐 之尋小山 正信黒瀬 眞之輔大屋 国益宮本 龍彦
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キーワード: 脊髄損傷, 血栓塞栓症
ジャーナル フリー

1994 年 43 巻 4 号 p. 1233-1235

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A fifty-two-year-old woman suffered from spinal cord injury (paraplegia) following by a Th9 dislocation fracture. She immediately underwent reduction and posterior thoracic fusion with CD system. Eight days after surgery, when the central venous catheter was removed from the right femoral vein, she immediately complained of chest pain, fell into unconsciousness and died. Autopsy revealed complete obstruction of the lumen of both pulmonary arteries due to thromboembolism. The cause of death was recorded as pulmonary thromboembolism resulting from detachment of thrombus which had developed at the femoral vein catheter site. The importance of screening for complications in patients with complete lesions and injuries is discussed.

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