書誌事項
- タイトル別名
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- A case of acute pulmonary thromboembolism after free flap reconstruction for tongue cancer
- ショウレイ ホウコク ユウリ ヒベン ニ ヨル シタ サイケン ゴ ニ ハッショウ シタ キュウセイ ハイ ケッセン ソクセンショウ ノ 1レイ
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説明
The incidence of pulmonary thromboembolism (PTE) has been increasing, although it remains lower in Japan than in Western countries. We report a case of PTE after free flap reconstruction in a patient with left tongue cancer (T2N2bM0) treated in May 2004.<BR>We performed tracheostomy, hemiglossectomy, and neck dissection. The tongue defect was repaired with a free radial forearm flap using a microsurgical vascular anastomosis. Although antithrombolytic therapy with prostaglandin El was started during microsurgery, circulatory disorders of the free flap occurred 2 days after operation. Therefore, we tried removing the intravenous thrombus and performed re-anastomosis, followed by anticoagulant and thrombolytic therapy. However, total necrosis of the flap occurred 5 days after re-operation. We therefore discontinued the anticoagulant and thrombolytic therapy. The following day PTE developed, but we saved the patient's life by immediate treatment, administered by cardiologists and other specialists.<BR>Our experience indicates that preventative treatment such as low-dose unfractionated heparin and using elastic stockings or intermittent pneumatic compression until the patient can walk after surgery may be necessary when there is a high risk of PTE.
収録刊行物
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- 日本口腔外科学会雑誌
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日本口腔外科学会雑誌 52 (10), 565-568, 2006
社団法人 日本口腔外科学会
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詳細情報 詳細情報について
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- CRID
- 1390001206532517248
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- NII論文ID
- 10018859274
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- NII書誌ID
- AN00189163
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- ISSN
- 21861579
- 00215163
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- NDL書誌ID
- 8551116
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- NDL
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可
