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首页> 外文期刊>American Journal of Case Reports >Lumbar Compression Fracture Caused by Cardioversion
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Lumbar Compression Fracture Caused by Cardioversion

机译：腰部压缩骨折由心脏致氢引起

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Patient: Male, 46-year-old Final Diagnosis: Lumbar compression fracture Symptoms: Low back pain Medication:— Clinical Procedure: Cardioversion Specialty: Family Medicine Objective: Diagnostic/therapeutic accidents Background: Cardioversion is a safe, commonly used procedure throughout the world. It is performed over 30 000 times per year in the United States, specifically for atrial fibrillation. Procedural risks from cardioversion include clot dislodgement, sedation effects, site pain, burns, hypotension, dysrhythmias, or heart failure. Generally, back pain is considered to be simple muscle soreness, and cardioversion consents therefore do not include discussion of back injuries. Case Report: A 46-year-old man with no prior back pain or injury history underwent a planned synchronized cardioversion for atrial fibrillation. He immediately reported new back pain following the procedure. No unusual event such as a fall occurred near the time of the procedure, but upon evaluation, he was found to have a new lumbar compression fracture that caused incapacitating pain for more than 6 weeks. Conclusions: Cardioversion has been found to be a safe, effective treatment for atrial fibrillation. Adverse effects are generally minor, and the frequency of adverse effects appear to be low overall. The case reported here represents a rare, but possibly underreported adverse effect, namely, lumbar compression fracture due to cardioversion. Patients should be counseled on the possibility of back injury, even compression fracture, as a result of cardio-version. It would also be prudent to broaden the differential diagnosis possibilities should a patient complain of back pain after cardioversion.
机译：患者：男性，46岁的最终诊断：腰部压缩骨折症状：腰痛药物： - 临床手术：心致专业：家庭医学目标：诊断/治疗事故背景：心电源是一种安全，常用的手术，遍布全球安全，常用的手术。它在美国每年超过30 000次，专门针对心房颤动。 Cardioversion的程序风险包括凝块脱臼，镇静效果，位点疼痛，烧伤，低血压，缺血性或心力衰竭。一般来说，背部疼痛被认为是简单的肌肉酸痛，因此，心脏致致敬的同意不包括讨论后伤害。案例报告：一个46岁的男子，没有先前的背部疼痛或伤害历史，经历了针对心房颤动的计划同步心脏。他立即报告了手术后的新背痛。没有异常的事件，如秋天发生在程序的时间附近，但在评估后，他发现他有一个新的腰部压缩骨折，导致疼痛疼痛超过6周。结论：已发现心脏致氢致力于对心房颤动的安全，有效的治疗方法。不利影响一般是次要的，并且不利影响的频率似乎整体低。这里报道的情况代表着一种罕见但可能遭受的不良反应，即由于心致引起的腰部压缩骨折。由于心脏版本，患者应咨询后损伤的可能性，甚至压抑骨折。如果患者在心脏致氢抱怨后患者抱怨患者，也会谨慎。

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