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首页> 美国卫生研究院文献>Korean Journal of Anesthesiology >Deep vein thrombosis after spine operation in prone position with subclavian venous catheterization: a case report
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Deep vein thrombosis after spine operation in prone position with subclavian venous catheterization: a case report

机译：锁骨下静脉置管在俯卧位脊柱手术后深静脉血栓形成：一例报告

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摘要

We experienced a case of deep vein thrombosis after spine surgery in the prone position with a central venous catheter (CVC). Posterior lumbar interbody fusion was performed on a 73-year-old female patient who was diagnosed with spinal stenosis. Accordingly, in the operation room under general anesthesia, two-lumen CVC were inserted into the left subclavian vein. The surgery was performed in the prone position with a Wilson frame. On the next day, there was a sudden occurrence of severe edema in the patient's left arm. By ultrasonography and computed tomography scanning, extensive deep vein thrombosis was observed in the left subclavian vein. The existence of a factor affecting blood flow such as the prone position may increase the risk of thrombus formation. Therefore, careful perioperative evaluation should be implemented.
机译：我们在中心静脉导管（CVC）俯卧位脊柱手术后经历了深静脉血​​栓形成的病例。后路腰椎椎间融合术是对一名73岁的女性患者进行的，该女性患者被诊断出患有椎管狭窄。因此，在全身麻醉下的手术室中，将两腔CVC插入左锁骨下静脉。用威尔逊镜架在俯卧位进行手术。第二天，患者左臂突然出现严重水肿。通过超声检查和计算机断层扫描，在左锁骨下静脉中观察到广泛的深静脉血栓形成。影响血液流动的因素（如俯卧位）的存在可能会增加血栓形成的风险。因此，应进行仔细的围手术期评估。

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