一名肾细胞癌相关静脉血栓和大量输血患者的麻醉处理。

IF 1.4 Q3 ORTHOPEDICS

Orthopedic Reviews Pub Date : 2024-08-29 eCollection Date: 2024-01-01 DOI:10.52965/001c.122538

Gary Zhang, Ryan Palacios, Jamal Hasoon, Christopher L Robinson, Anvinh Nguyen

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引用次数: 0

摘要

一名53岁的男性患者曾有多次深静脉血栓（DVT）病史，在肾细胞癌（RCC）相关静脉血栓形成的情况下接受了右侧开放性根治性肾切除术和下腔静脉（IVC）血栓切除术。影像学检查和肾活检显示，RCC 诊断为左肾静脉非闭塞性血栓形成和肾下 IVC 闭塞性血栓形成。手术的主要风险包括手术操作造成的血栓栓塞和大量出血。术中，患者大出血，需要大量输血。本病例报告旨在强调多学科参与、术中血栓监测和大量输血原则在处理类似病例中的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Anesthetic Management of a Patient with Renal Cell Carcinoma-Associated Venous Thrombosis and Massive Transfusion.

A 53-year-old male with a history of multiple deep venous thromboses (DVTs) underwent a right open radical nephrectomy with inferior vena cava (IVC) thrombectomy in the context of renal cell carcinoma (RCC)-associated venous thrombosis. Imaging and renal biopsy revealed a diagnosis of RCC with non-occlusive thrombosis of the left renal vein and occlusive thrombosis of the infrarenal IVC. The major risks of concern for the procedure included thrombus embolization from surgical manipulation and massive bleeding. Intraoperatively, the patient experienced significant hemorrhage requiring massive transfusion protocol. The purpose of this case report is to emphasize the importance of multidisciplinary involvement, intraoperative thrombus monitoring, and principles of massive transfusion in the management of similar cases.

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来源期刊

Orthopedic Reviews ORTHOPEDICS-

CiteScore

2.70

自引率

4.80%

发文量

122

审稿时长

10 weeks

期刊介绍： Orthopedic Reviews is an Open Access, online-only, peer-reviewed journal that considers articles concerned with any aspect of orthopedics, as well as diagnosis and treatment, trauma, surgical procedures, arthroscopy, sports medicine, rehabilitation, pediatric and geriatric orthopedics. All bone-related molecular and cell biology, genetics, pathophysiology and epidemiology papers are also welcome. The journal publishes original articles, brief reports, reviews and case reports of general interest.