Two cases of postoperative pulmonary thromboembolism of lumbar spinal diseases.

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Recently, we treated two cases of postoperative pulmonary thromboembolism after lumbar spinal surgery. Pulmonary thromboembolism is responsible for one of the greatest dangers in orthopaedic surgery.Case 1 was a 30-year-old man. There was a disc herniation of L4/5 and Love's operation was done. Six days after the surgery, he complained of chest pain, tachypnea, cough and bloody sputum.Case 2 was a 41-year-old man. There was a disc herniation of L4/5 and Love's operation and postero-lateral fusion were done. Thirteen days after the surgery, he complained of bloody sputum, tachypnea, chest pain and cough.The early signs of pulmonary thromboembolism are often difficult to detect, especially when it occurs in a patient remaining in bed. The diagnosis of the pulmonary thromboembolism was not easily made by chest X-ray findings and blood biochemical tests.Analysis of arterial blood gas and respiratory gas will be a most reliable method to differentiate pulmonary thromboembolism from other respiratory diseases.
西日本整形・災害外科学会の論文