2.Synchronous lung cancer in operation and brain infraction.
Meiling LI ; Hongqin HE ; Wenjin WANG ; Jianli WANG
Chinese Journal of Lung Cancer 2010;13(5):560-562
Adult
;
Cerebral Infarction
;
etiology
;
Humans
;
Intraoperative Complications
;
etiology
;
Lung Neoplasms
;
pathology
;
surgery
;
Male
3.Symptomatic hyponatremia and hyperglycemia complicating hysteroscopic resection of intrauterine adhesion: a case report.
Chinese Medical Journal 2012;125(8):1508-1510
Hysteroscopic surgery is a minimally invasive procedure for the treatment of intrauterine pathologies. However, it can result in fatal complications. We herein report a case of symptomatic hyponatremia and hyperglycemia during hysteroscopic resection of severe intrauterine adhesion with 5% dextrose in water as the distension medium. Because of the difficulty of the incision, the infusion pressure was 100 to 150 mmHg, and surgery was continued for 70 minutes. A total of 19 L of 5% dextrose in water was used as an irrigating fluid. Large-scale absorption of irrigating fluid (3 L) induced dilutional hyponatremia (120 mmol/L) and hyperglycemia (30 mmol/L). Initial signs were abnormal flatulence and postoperative coma. Hypertonic saline, diuretics, insulin, and liquid restriction were the prevailing treatment strategies for hyponatremia and hyperglycemia. Ionized calcium and potassium levels decreased during treatment. We emphasize the importance of prevention, recognition, and a meticulous perioperative treatment standard. Surgical teams must be vigilant in fluid deficit monitoring and serum electrolyte analysis.
Adult
;
Female
;
Humans
;
Hyperglycemia
;
etiology
;
Hyponatremia
;
etiology
;
Hysteroscopy
;
adverse effects
;
Intraoperative Complications
;
etiology
;
Tissue Adhesions
;
Uterine Diseases
;
surgery
7.Progress on peri-operative hidden blood loss after hip fracture.
Shun-dong LI ; Chao XU ; Pei-jian TONG
China Journal of Orthopaedics and Traumatology 2014;27(10):882-886
Hip fracture patients preoperative and postoperative exist hidden blood loss which often affect patients' wound healing, increase the probability of infection, prolong rehabilitation exercise, influence postoperative effect. At the same time, the body's blood loss increase the activation of the blood clotting mechanism, promote the incidence of deep vein thrombosis, bleeding and deep vein thrombosis has become the main causes of high risk in hip operation. It is very important to stop bleeding, anticoagulation should not be ignored, so how to effectively deal with the prominent contradiction between the postoperative anticoagulation and bleeding or looking for a best balance has become a intractable problems in hip fracture treatment.
Anticoagulants
;
therapeutic use
;
Blood Loss, Surgical
;
prevention & control
;
Hip Fractures
;
complications
;
surgery
;
Humans
;
Intraoperative Complications
;
drug therapy
;
etiology
;
prevention & control
8.Pay attention to the causes and complications associated with surgical reconstruction of orbital fractures.
Chinese Journal of Stomatology 2011;46(8):463-466
Diplopia
;
etiology
;
Enophthalmos
;
etiology
;
Exophthalmos
;
etiology
;
Facial Nerve Injuries
;
etiology
;
Hemorrhage
;
etiology
;
Humans
;
Intraoperative Complications
;
etiology
;
prevention & control
;
Orbit
;
blood supply
;
surgery
;
Orbital Fractures
;
surgery
;
Postoperative Complications
;
etiology
;
prevention & control
;
Reconstructive Surgical Procedures
;
adverse effects
;
Reflex, Trigeminocardiac
;
Vision, Low
;
etiology
9.Paradoxical Air Embolism during Percutaneous Nephrolithotomy: A Case Report.
Seung Hun SONG ; Bumsik HONG ; Hyung Keun PARK ; Taehan PARK
Journal of Korean Medical Science 2007;22(6):1071-1073
Air embolism is a rare complication of percutaneous nephrolithotomy. Patent foramen ovale, which is necessary in fetal circulation, is a potential route for emboli arising from the venous system to enter the systemic arterial circulation, resulting in paradoxical air embolism syndrome. A case of paradoxical air embolism during percutaneous nephrolithotomy is presented. To our knowledge, this is the first report of paradoxical air embolism associated with patent foramen ovale during percutaneous nephrolithotomy.
Adult
;
Diverticulum/surgery
;
Embolism, Air/*etiology
;
Embolism, Paradoxical/*etiology
;
Foramen Ovale, Patent/complications/surgery
;
Humans
;
Intraoperative Complications/*etiology
;
Male
;
Nephrostomy, Percutaneous/*adverse effects
10.Perioperative Complications of Orthopedic Surgery for Lower Extremity in Patients with Cerebral Palsy.
Seung Yeol LEE ; Hye Min SOHN ; Chin Youb CHUNG ; Sang Hwan DO ; Kyoung Min LEE ; Soon Sun KWON ; Ki Hyuk SUNG ; Sun Hyung LEE ; Moon Seok PARK
Journal of Korean Medical Science 2015;30(4):489-494
Because complications are more common in patients with cerebral palsy (CP), surgeons and anesthesiologists must be aware of perioperative morbidity and be prepared to recognize and treat perioperative complications. This study aimed to determine the incidence of and risk factors for perioperative complications of orthopedic surgery on the lower extremities in patients with CP. We reviewed the medical records of consecutive CP patients undergoing orthopedic surgery. Medical history, anesthesia emergence time, intraoperative body temperature, heart rate, blood pressure, immediate postoperative complications, Gross Motor Function Classification System (GMFCS) level, Cormack-Lehane classification, and American Society of Anesthesiologists physical status classification were analyzed. A total of 868 patients was included. Mean age at first surgery was 11.8 (7.6) yr. The incidences of intraoperative hypothermia, absolute hypotension, and absolute bradycardia were 26.2%, 4.4%, and 20.0%, respectively. Twenty (2.3%) patients had major complications, and 35 (4.0%) patients had minor complications postoperatively. The incidences of intraoperative hypothermia, absolute hypotension, and major postoperative complications were significantly higher in patients at GMFCS levels IV and V compared with patients at GMFCS levels I to III (P<0.001). History of pneumonia was associated with intraoperative absolute hypotension and major postoperative complications (P<0.001). These results revealed that GMFCS level, patient age, hip reconstructive surgery, and history of pneumonia are associated with adverse effects on intraoperative body temperature, the cardiovascular system, and immediate postoperative complications.
Adolescent
;
Adult
;
Cerebral Palsy/*complications
;
Child
;
Child, Preschool
;
Female
;
Humans
;
Intraoperative Complications/*etiology
;
Lower Extremity/*surgery
;
Male
;
Middle Aged
;
Orthopedic Procedures/*adverse effects
;
Postoperative Complications/*etiology