通过胸部 X 光检查颈动脉内膜剥脱术后的颈部血肿

Min Joon Seo, Jin-Heon Jeong
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引用次数: 0

摘要

一名 61 岁的男子因左侧偏瘫和构音障碍来到急诊室。脑磁共振成像显示,患者右侧大脑中动脉区域梗死,近端颈内动脉狭窄。入院第 8 天进行了颈动脉内膜剥脱术(CEA)。颈动脉内膜剥脱术后 3 小时,患者出现呼吸困难和喘息。随即进行了胸部 X 光检查(图 1),并在怀疑血肿导致气道阻塞的情况下进行了紧急气管插管。颈部计算机断层扫描(CT)证实颈动脉血管周围有血肿形成(图 2)。在没有停用氯吡格雷的情况下严格控制了血压,并注意到血肿。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Detection of neck hematoma after carotid endarterectomy by chest X-ray
A 61-year-old man presented to the emergency room with left hemiparesis and dysarthria. Brain magnetic resonance imaging showed right middle cerebral artery territory infarction with proximal internal carotid artery stenosis. Carotid endarterectomy (CEA) was performed on the 8th day of admission. After 3 hours of CEA, the patient complained of dyspnea, and stridor was developed. Chest X-ray was performed immediately (Fig. 1), and emergent endotracheal intubation was performed under suspicion of airway obstruction due to hematoma. Neck computed tomography (CT) confirmed hematoma formation around the carotid vessels (Fig. 2). Blood pressure was strictly controlled without discontinuation of clopidogrel, and hematoma was noted to Fig. 1.
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