病例报告:1例心肺复苏术后肺栓塞及肝破裂致心脏骤停。

IF 2.8 3区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
Frontiers in Cardiovascular Medicine Pub Date : 2025-09-08 eCollection Date: 2025-01-01 DOI:10.3389/fcvm.2025.1624064
Haowen Yang, Yuehong Li, Xiongbing Peng, Zhaojun Li, Peiwan Liu, Xingbao Fang
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引用次数: 0

摘要

术后肺栓塞(PE)严重威胁着患者的生命安全。然而,并发肝破裂的病例是非常罕见的。本报告描述了一例患者因下肢静脉曲张手术后PE导致心脏骤停,随后心肺复苏(CPR)期间肝脏破裂。在多学科团队(MDT)的及时干预下,患者接受了体外膜氧合(ECMO)辅助复苏和肝脏修复手术。通过分期抗凝策略,实现了出血控制和血栓预防之间的平衡。最终,经过23天的治疗,患者恢复了意识,并被转移到康复中心。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Case Report: Experience of a case of cardiac arrest caused by postoperative pulmonary embolism and hepatic rupture induced by cardiopulmonary resuscitation.

Case Report: Experience of a case of cardiac arrest caused by postoperative pulmonary embolism and hepatic rupture induced by cardiopulmonary resuscitation.

Case Report: Experience of a case of cardiac arrest caused by postoperative pulmonary embolism and hepatic rupture induced by cardiopulmonary resuscitation.

Case Report: Experience of a case of cardiac arrest caused by postoperative pulmonary embolism and hepatic rupture induced by cardiopulmonary resuscitation.

Postoperative pulmonary embolism (PE) poses a serious threat to a patient's life. However, cases involving concurrent liver rupture are exceedingly rare. This report describes a case of a patient who experienced cardiac arrest due to PE following lower extremity varicose vein surgery, followed by liver rupture during cardiopulmonary resuscitation (CPR). Under the timely intervention of a multidisciplinary team (MDT), the patient underwent extracorporeal membrane oxygenation (ECMO)-assisted resuscitation and hepatic repair surgery. Through a staged anticoagulation strategy, a balance was achieved between bleeding control and thrombosis prevention. Ultimately, after 23 days of treatment, the patient regained consciousness and was transferred to rehabilitation.

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来源期刊
Frontiers in Cardiovascular Medicine
Frontiers in Cardiovascular Medicine Medicine-Cardiology and Cardiovascular Medicine
CiteScore
3.80
自引率
11.10%
发文量
3529
审稿时长
14 weeks
期刊介绍: Frontiers? Which frontiers? Where exactly are the frontiers of cardiovascular medicine? And who should be defining these frontiers? At Frontiers in Cardiovascular Medicine we believe it is worth being curious to foresee and explore beyond the current frontiers. In other words, we would like, through the articles published by our community journal Frontiers in Cardiovascular Medicine, to anticipate the future of cardiovascular medicine, and thus better prevent cardiovascular disorders and improve therapeutic options and outcomes of our patients.
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