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中华危重症医学杂志(电子版) ›› 2023, Vol. 16 ›› Issue (04) : 346 -348. doi: 10.3877/cma.j.issn.1674-6880.2023.04.016

病例报告

全髋关节置换术后脱位手法复位致肺栓塞抢救成功一例
朱波, 王秋根, 冯圣一, 李勃()   
  1. 200437 上海,上海中医药大学附属岳阳中西医结合医院骨伤中心
  • 收稿日期:2023-05-08 出版日期:2023-08-31
  • 通信作者: 李勃
  • 基金资助:
    上海市中医药事业发展三年行动计划(ZY(2018-2020)-ZWB-1001-CPJS49); 上海中医药大学预算内项目(2021LK095)
  • Received:2023-05-08 Published:2023-08-31
引用本文:

朱波, 王秋根, 冯圣一, 李勃. 全髋关节置换术后脱位手法复位致肺栓塞抢救成功一例[J]. 中华危重症医学杂志(电子版), 2023, 16(04): 346-348.

全髋关节置换术(total hip arthroplasty,THA)是骨科和创伤外科领域最成熟的手术之一[1]。对于晚期的髋关节骨关节炎、缺血性坏死以及严重的髋部骨折等,THA目前仍然是最佳治疗方案[2],它能显著缓解疼痛,增加中、长期髋关节的活动能力,改善患者生活质量。但是,人工股骨头脱位却是THA术后非常具有挑战性的难题,1.4% ~ 5.0%的患者在首次THA术后出现脱位[3],超过60%的脱位患者存在多次脱位[3-4]。脱位后,一般需要手法复位或者手术切开复位,对于体位性因素导致的脱位,手法复位是首选,不需要再次手术,不仅恢复快、身体负担小,也更加安全[5-7]

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