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篇名 |
心血管手術中使用經食道超音波因不尋常鈣化淋巴結造成食道穿孔的併發症
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並列篇名 |
Unusual Cause of Esophageal Perforation during Intraoperative Transesophageal Echocardiography Monitoring for Cardiac Surgery-- A Case Report |
作者 |
彭旻文、林素滿、高聖欽、朱圻鈞、蔡勝國 |
中文摘要 |
食道穿孔在使用經食道超音波監測所造成的併發症中是非常少見的,但是此致命的併發症還是有可能會發生。在此我們報告一例在心臟手術中使用經食道超音波監測而四天後發現因不尋常鈣化淋巴結造成食道穿孔的併發症。其發生的主要原因是病人縱膈腔中有一大鈣化淋巴結,且手術中使用經食道超音波造成食道被扭曲壓迫所導致。在此我們建議手術之前的放射線診斷是非常重要,尤其在病人胸部X光有發現鈣化淋巴結時。這樣才能預防類似的悲劇再次發生。 |
英文摘要 |
Although esophageal perforation after transesophageal echocardiographic (TEE) examination is rare yet the occurrence of this life-threatening complication is increasing. We report an unusual esophageal perforation occurring 4 days after coronary artery bypass graft surgery and Bentall's procedure. The perforation was due to inadvertent injury of the esophagus that was deformed and distorted by a large calcified lymph node in the mediastinum during intraoperative TEE instrumentation. We suggest that careful preoperative radiological examination of the mediastinum should be done to recognize the anatomical pathology in patient whose routine chest X-ray has disclosed a large calcified lymph node in the mediastinum, if he happens to undergo TEE, so as to avoid disastrous esophageal perforation. |
起訖頁 |
155-158 |
關鍵詞 |
經食道超音波、術中併發症、心臟手術、Echocardiography, transesophageal、Intraoperative complications、Cardiac surgical procedures |
刊名 |
麻醉學雜誌 |
期數 |
200309 (41:3期) |
出版單位 |
台灣麻醉醫學會
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該期刊-上一篇 |
不同沖洗液於子宮鏡手術引發體液過量之病例報告 |
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裝有植入式心臟去顫器的病人接受下頷腺切除手術全身麻醉的病例報告 |
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