Bone cement implantation syndrome during hip replacement in a patient with pemphigus and Parkinson’s disease: A case report  

作　　者：Wei Zhou Wen-Jing Zhang Guo-Qing Zhao Kai Li 

机构地区：[1]Department of Anesthesiology,Tongde Hospital of Zhejiang Province,Hangzhou 310012,Zhejiang Province,China [2]Department of Anesthesiology,China Japan Union Hospital of Jilin University,Changchun 130021,Jilin Province,China

出　　处：《World Journal of Clinical Cases》2021年第14期3342-3349,共8页世界临床病例杂志

摘　　要：BACKGROUND Bone cement implantation syndrome(BCIS)is characterized by hypotension,arrhythmia,diffuse pulmonary microvascular embolism,shock,cardiac arrest,any combination of these factors,or even death following bone cement implantation.CASE SUMMARY An 80-year-old patient with pemphigus and Parkinson’s disease underwent total hip replacement under spinal subarachnoid block and developed acute pulmonary embolism after bone cement implantation.The patient received mask mechanical ventilation with a continuous intravenous infusion of adrenaline(2μg/mL)at a rate of 30 mL/h.Subsequently,the symptoms of BCIS were markedly alleviated,and the infusion rate of adrenaline was gradually reduced until the infusion was completely stopped 45 min later.The patient was then transferred to the Department of Orthopedics,and anticoagulation therapy began at 12 h postoperatively.No other complications were observed.CONCLUSION This is a rare case of BCIS in a high-risk patient with pemphigus and Parkinson’s disease.

关 键 词：Bone cement implantation syndrome PEMPHIGUS Parkinson’s disease Pulmonary embolism Case report 

分 类 号：R687.4[医药卫生—骨科学] R742.5[医药卫生—外科学] R758.66[医药卫生—临床医学]