Severe Pulmonary Embolism Following Operative Treatment of Ankle Fracture: A Rare Case Report and Review of the Literature

足踝骨折術後嚴重肺栓塞：罕見病例報告及文獻回顧

蔡東燁(Tung-Yeh Tsai) ； 王仁威(Jin-Wei Wang) ； 李佳霖(Chia-Lin Lee) ； 邱煥民(Huaan-Min Chiu)

《南臺灣醫學雜誌》 12卷1期 (2016/07) Pp. 48-54

https://doi.org/10.6726/MJST.201607_12(1).0007

摘要

靜脈血栓栓塞是多重創傷及骨科手術後常見的併發症，在下肢關節置換術後尤其好發。而在長骨骨折術後發生靜脈血栓栓塞盛行率實際上大約在百分之一到二。足踝骨折術後發生靜脈血栓栓塞風險包括深部靜脈栓塞及肺栓塞。我們報告一個足踝骨折術後發生肺栓塞的罕見病例，因為在足踝手術後罕見與延遲的血栓栓塞發生率，容易忽略及難以去重視足踝手術潛在血栓栓塞的風險。我們同時做血栓好發率、危險因子及下肢手術前預防措施之文獻回顧。

關鍵字

足踝骨折 ； 肺栓塞 ； 血栓 ； 靜脈血栓栓塞。

並列摘要

Venous thromboembolism (VTE) is common complication following multiple trauma and orthopedic surgery, especially lower limb arthroplasty. In fact, incidence of VTE following fracture of the long bones has been reported to be between 1% and 2%. Risks of VTE following operative treatment of ankle fracture include deep vein thrombosis and pulmonary embolism (PE). Here, we present a rare case of ankle fracture complicated by PE, which highlights the difficulty in detecting potential risks of thromboembolic events due to their rare and delayed occurrence in foot and ankle operations. We also review the published data regarding the prevalence of thrombosis, risk factors, and methods of prophylaxis in surgical procedures of the lower extremity.

並列關鍵字

ankle fracture ； pulmonary embolism ； thrombosis ； venous thromboembolism