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Postoperative Pulmonary Thromboembolism after Removal of a Parasagittal Meninigioma: Case Report and Literature Review

矢狀竇旁腦膜瘤摘除術後合併肺血栓栓塞:病例報告與文獻回顧

摘要


肺血栓栓塞在神經外料術後的併發症中並不常見。本病例為矢狀竇旁腦膜瘤摘除術後合併有症狀的肺血栓栓塞症。立即的診斷及治療使此病患有良好的臨床結果。希望以此病例報告提醒臨床重症醫師在照護術後病患時及早診斷給予適當治療,並從文獻回顧討論靜脈血栓症預防的臨床可行性。

並列摘要


Pulmonary thromboembolism as a postoperative complication of neurosurgical procedure is seldom reported in Taiwan. Hence we present a patient of parasagittal meningioma who suffered symptomatic pulmonary thromboembolism 10 days after tumor excision operation. Early diagnosis and immediate treatment offered favorable outcome. By this case report, we hope that critical care physicians more alert of this complication and through comprehensive review of the literature, judicious use of perioperative thromboprophylaxis should be emphasized in neurosurgical patients.

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