治疗颈椎融合术后颈部血肿的临床挑战与手术干预:病例报告。

IF 0.6 Q4 SURGERY Case Reports in Surgery Pub Date : 2024-10-04 eCollection Date: 2024-01-01 DOI:10.1155/2024/3173782
Parimal Rana, Justin Turcotte, Sohail Zaidi
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引用次数: 0

摘要

本病例讨论的是一名 47 岁的高加索男性,既往病史包括血脂异常、胃食管反流病、既往颈椎手术和焦虑症,在进行 C5-6 颈椎融合术后出现颈部血肿。医生紧急进行了颈部探查并清除了血肿,恢复了通气。患者被转入重症监护室,术后第 5 天拔管,伤口稳定,无残留出血。三周后复诊时,患者情况良好,胸片显示无渗出或血肿。本报告阐明了颈椎手术后颈部血肿并发症的急性临床症状及其与潜在病因的相关性、后续处理和结果所带来的挑战。
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Clinical Challenges and Surgical Interventions in Managing Neck Hematoma After Cervical Spine Fusion: A Case Report.

This case study discusses a 47-year-old Caucasian male with a past medical history of dyslipidemia, gastroesophageal reflux disease, previous cervical spine surgery, and anxiety who developed a neck hematoma postrevision of a C5-6 cervical spine fusion. Emergent neck exploration and evacuation of the hematoma were performed, and ventilation was restored. The patient was transferred to the intensive care unit and extubated on postoperative day 5 with a stable wound and no residual bleeding. At the 3-week follow-up appointment, the patient was noted to be doing well, with a chest radiograph showing no effusion or hematoma. This report elucidates the challenges posed by acute clinical symptoms and their correlation with the underlying cause, as well as the subsequent management and outcomes of a neck hematoma complication following cervical spine surgery.

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