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中华关节外科杂志(电子版) ›› 2022, Vol. 16 ›› Issue (01) : 124 -126. doi: 10.3877/cma.j.issn.1674-134X.2022.01.021

个案报道

肩关节镜手术致大量灌注液外渗1例
邓厚盛1, 曾宾1, 张治明1,()   
  1. 1. 423000 郴州市第一人民医院麻醉科
  • 收稿日期:2020-06-18 出版日期:2022-02-01
  • 通信作者: 张治明
  • 基金资助:
    郴州市第一人民医院院级科研项目(N2020-6); 湖南省科技计划项目经费资助项目(2020SK50303)

Case report on extensive fluid extravasation caused by arthroscopy shoulder surgery

Housheng Deng1, Bin Zeng1, Zhiming Zhang1()   

  • Received:2020-06-18 Published:2022-02-01
  • Corresponding author: Zhiming Zhang
引用本文:

邓厚盛, 曾宾, 张治明. 肩关节镜手术致大量灌注液外渗1例[J]. 中华关节外科杂志(电子版), 2022, 16(01): 124-126.

Housheng Deng, Bin Zeng, Zhiming Zhang. Case report on extensive fluid extravasation caused by arthroscopy shoulder surgery[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2022, 16(01): 124-126.

图1 术前左肩关节MRI图像。图A为左肩关节轴位T1加权像;图B为左肩关节矢状位T2加权像;图C为左肩关节矢状位T1加权像;图D为左肩关节冠状位T2加权像注:红色箭头-所指区为肩袖损失
图2 从侧面看肩关节渗出的情况。图A为手术结束即刻,可见左侧上胸部及颈部明显肿胀,左侧乳房明显膨隆;图B为手术结束2 h后,患者苏醒后,通过积极利尿处理,渗出的液体明显减少,双侧乳房落差明显缩小
图3 双侧腋前线第三肋水平超声影像。图A为患侧;图B为健侧注:红色箭头-所指暗区为渗漏到肌肉之间的液体;蓝色箭头-所指为第三肋骨;绿色箭头-所指为胸膜
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