DerAnaesthesist.60451192.ger.abstr-passage-0
abstract
Der vorliegende Fallbericht beschreibt eine neurologische Komplikation nach Implantation einer Hueftendoprothese bei einer 33jaehrigen Patientin . 6 Jahre zuvor hatte die Patientin nach allogener Knochenmarkstransplantation eine Lungenembolie sowie eine Graft-versus-Host-Reaktion der Haut mit eingeschraenkter Mundoeffnung entwickelt . Am Vorabend sowie am Abend der Operation erhielt sie je 24 mg eines niedermolekularen Heparins . Die Operation wurde bei normalen globalen Haemostaseparametern in PDA durchgefuehrt . Nach Blutaspiration durch den ersten Katheter ermoeglichte die zweite Punktion eine regelrechte PDA . Intraoperativ erhielt die Patientin 500 ml Dextran . Bei unauffaelligem perioperativem Verlauf und ruecklaeufigen motorischen Effekten der PDA wurde der Katheter 2 h nach OP-Ende gezogen . 10 h spaeter fielen eine blutige Punktionsstelle , Inkontinenz sowie ein motorisches und sensibles Defizit im linken Bein auf . Die Computertomographie ( CT ) ergab keinen sicheren Hinweis einer intraspinalen Blutung . Dennoch wurde die Indikation zur raschen operativen Intervention gestellt . Die postoperativ erstmals gemessene Blutungszeit nach Mielke betrug > 20 min und begruendete den Verdacht auf eine vaskulaere Stoerung der Haemostase .
DerAnaesthesist.60451192.ger.abstr-s2-r1-t3.2-t1.1
associated_with
DerAnaesthesist.60451192.ger.abstr-s2-t3
DerAnaesthesist.60451192.ger.abstr-s11-t1
DerAnaesthesist.60451192.ger.abstr-s2-r2-t5.1-t7.1
conceptual_part_of
DerAnaesthesist.60451192.ger.abstr-s2-t5
DerAnaesthesist.60451192.ger.abstr-s2-t7
DerAnaesthesist.60451192.ger.abstr-s2-r3-t8.1-t3.1
location_of
DerAnaesthesist.60451192.ger.abstr-s2-t8
DerAnaesthesist.60451192.ger.abstr-s11-t3
DerAnaesthesist.60451192.ger.abstr-s2-r4-t5.1-t3.2
location_of
DerAnaesthesist.60451192.ger.abstr-s2-t5
DerAnaesthesist.60451192.ger.abstr-s2-t3
DerAnaesthesist.60451192.ger.abstr-s2-r5-t8.1-t2.1
adjacent_to
DerAnaesthesist.60451192.ger.abstr-s2-t8
DerAnaesthesist.60451192.ger.abstr-s11-t2
DerAnaesthesist.60451192.ger.abstr-s2-r6-t2.1-t6.1
location_of
DerAnaesthesist.60451192.ger.abstr-s11-t2
DerAnaesthesist.60451192.ger.abstr-s2-t6
DerAnaesthesist.60451192.ger.abstr-s2-r7-t7.1-t1.1
location_of
DerAnaesthesist.60451192.ger.abstr-s2-t7
DerAnaesthesist.60451192.ger.abstr-s11-t1
DerAnaesthesist.60451192.ger.abstr-s2-r8-t3.1-t6.1
associated_with
DerAnaesthesist.60451192.ger.abstr-s11-t3
DerAnaesthesist.60451192.ger.abstr-s2-t6
DerAnaesthesist.60451192.ger.abstr-s2-r9-t5.1-t8.1
adjacent_to
DerAnaesthesist.60451192.ger.abstr-s2-t5
DerAnaesthesist.60451192.ger.abstr-s2-t8
DerAnaesthesist.60451192.ger.abstr-s2-r10-t8.1-t1.1
location_of
DerAnaesthesist.60451192.ger.abstr-s2-t8
DerAnaesthesist.60451192.ger.abstr-s11-t1
DerAnaesthesist.60451192.ger.abstr-s2-r11-t7.1-t3.2
location_of
DerAnaesthesist.60451192.ger.abstr-s2-t7
DerAnaesthesist.60451192.ger.abstr-s2-t3
DerAnaesthesist.60451192.ger.abstr-s2-r12-t2.1-t7.1
conceptual_part_of
DerAnaesthesist.60451192.ger.abstr-s11-t2
DerAnaesthesist.60451192.ger.abstr-s2-t7
DerAnaesthesist.60451192.ger.abstr-s2-r13-t3.2-t6.1
result_of
DerAnaesthesist.60451192.ger.abstr-s2-t3
DerAnaesthesist.60451192.ger.abstr-s2-t6
DerAnaesthesist.60451192.ger.abstr-s2-r14-t1.1-t3.2
associated_with
DerAnaesthesist.60451192.ger.abstr-s11-t1
DerAnaesthesist.60451192.ger.abstr-s2-t3
DerAnaesthesist.60451192.ger.abstr-s2-r15-t7.1-t3.2
isa
DerAnaesthesist.60451192.ger.abstr-s2-t7
DerAnaesthesist.60451192.ger.abstr-s2-t3
DerAnaesthesist.60451192.ger.abstr-s2-r16-t2.1-t3.1
location_of
DerAnaesthesist.60451192.ger.abstr-s11-t2
DerAnaesthesist.60451192.ger.abstr-s11-t3
DerAnaesthesist.60451192.ger.abstr-s2-r17-t7.1-t3.2
associated_with
DerAnaesthesist.60451192.ger.abstr-s2-t7
DerAnaesthesist.60451192.ger.abstr-s2-t3
DerAnaesthesist.60451192.ger.abstr-s2-r18-t8.1-t3.2
location_of
DerAnaesthesist.60451192.ger.abstr-s2-t8
DerAnaesthesist.60451192.ger.abstr-s2-t3
DerAnaesthesist.60451192.ger.abstr-s2-r19-t7.1-t8.1
adjacent_to
DerAnaesthesist.60451192.ger.abstr-s2-t7
DerAnaesthesist.60451192.ger.abstr-s2-t8
DerAnaesthesist.60451192.ger.abstr-s2-r20-t5.1-t6.1
location_of
DerAnaesthesist.60451192.ger.abstr-s2-t5
DerAnaesthesist.60451192.ger.abstr-s2-t6
DerAnaesthesist.60451192.ger.abstr-s2-r21-t2.1-t1.1
location_of
DerAnaesthesist.60451192.ger.abstr-s11-t2
DerAnaesthesist.60451192.ger.abstr-s11-t1
DerAnaesthesist.60451192.ger.abstr-s2-r22-t8.1-t7.1
adjacent_to
DerAnaesthesist.60451192.ger.abstr-s2-t8
DerAnaesthesist.60451192.ger.abstr-s2-t7
DerAnaesthesist.60451192.ger.abstr-s2-r23-t7.1-t6.1
location_of
DerAnaesthesist.60451192.ger.abstr-s2-t7
DerAnaesthesist.60451192.ger.abstr-s2-t6
DerAnaesthesist.60451192.ger.abstr-s2-r24-t8.1-t7.1
conceptual_part_of
DerAnaesthesist.60451192.ger.abstr-s2-t8
DerAnaesthesist.60451192.ger.abstr-s2-t7
DerAnaesthesist.60451192.ger.abstr-s2-r25-t6.1-t7.1
associated_with
DerAnaesthesist.60451192.ger.abstr-s2-t6
DerAnaesthesist.60451192.ger.abstr-s2-t7
DerAnaesthesist.60451192.ger.abstr-s2-r26-t5.1-t3.1
location_of
DerAnaesthesist.60451192.ger.abstr-s2-t5
DerAnaesthesist.60451192.ger.abstr-s11-t3
DerAnaesthesist.60451192.ger.abstr-s2-r27-t3.1-t3.2
associated_with
DerAnaesthesist.60451192.ger.abstr-s11-t3
DerAnaesthesist.60451192.ger.abstr-s2-t3
DerAnaesthesist.60451192.ger.abstr-s2-r28-t2.1-t3.2
location_of
DerAnaesthesist.60451192.ger.abstr-s11-t2
DerAnaesthesist.60451192.ger.abstr-s2-t3
DerAnaesthesist.60451192.ger.abstr-s2-r29-t8.1-t6.1
location_of
DerAnaesthesist.60451192.ger.abstr-s2-t8
DerAnaesthesist.60451192.ger.abstr-s2-t6
DerAnaesthesist.60451192.ger.abstr-s2-r30-t6.1-t3.2
result_of
DerAnaesthesist.60451192.ger.abstr-s2-t6
DerAnaesthesist.60451192.ger.abstr-s2-t3
DerAnaesthesist.60451192.ger.abstr-s2-r31-t6.1-t3.1
associated_with
DerAnaesthesist.60451192.ger.abstr-s2-t6
DerAnaesthesist.60451192.ger.abstr-s11-t3
DerAnaesthesist.60451192.ger.abstr-s2-r32-t3.2-t7.1
associated_with
DerAnaesthesist.60451192.ger.abstr-s2-t3
DerAnaesthesist.60451192.ger.abstr-s2-t7
DerAnaesthesist.60451192.ger.abstr-s2-r33-t8.1-t5.1
adjacent_to
DerAnaesthesist.60451192.ger.abstr-s2-t8
DerAnaesthesist.60451192.ger.abstr-s2-t5
DerAnaesthesist.60451192.ger.abstr-s2-r34-t1.1-t6.1
associated_with
DerAnaesthesist.60451192.ger.abstr-s11-t1
DerAnaesthesist.60451192.ger.abstr-s2-t6
DerAnaesthesist.60451192.ger.abstr-s2-r35-t6.1-t1.1
associated_with
DerAnaesthesist.60451192.ger.abstr-s2-t6
DerAnaesthesist.60451192.ger.abstr-s11-t1
DerAnaesthesist.60451192.ger.abstr-s2-r36-t7.1-t6.1
associated_with
DerAnaesthesist.60451192.ger.abstr-s2-t7
DerAnaesthesist.60451192.ger.abstr-s2-t6
DerAnaesthesist.60451192.ger.abstr-s2-r37-t2.1-t8.1
adjacent_to
DerAnaesthesist.60451192.ger.abstr-s11-t2
DerAnaesthesist.60451192.ger.abstr-s2-t8
DerAnaesthesist.60451192.ger.abstr-s2-r38-t5.1-t1.1
location_of
DerAnaesthesist.60451192.ger.abstr-s2-t5
DerAnaesthesist.60451192.ger.abstr-s11-t1
DerAnaesthesist.60451192.ger.abstr-s2-r39-t3.2-t3.1
associated_with
DerAnaesthesist.60451192.ger.abstr-s2-t3
DerAnaesthesist.60451192.ger.abstr-s11-t3
DerAnaesthesist.60451192.ger.abstr-s2-r40-t7.1-t3.1
location_of
DerAnaesthesist.60451192.ger.abstr-s2-t7
DerAnaesthesist.60451192.ger.abstr-s11-t3
DerAnaesthesist.60451192.ger.abstr-s5-r1-t1.1-t3.1
location_of
DerAnaesthesist.60451192.ger.abstr-s11-t1
DerAnaesthesist.60451192.ger.abstr-s11-t3
DerAnaesthesist.60451192.ger.abstr-s5-r2-t3.1-t1.2
measures
DerAnaesthesist.60451192.ger.abstr-s11-t3
DerAnaesthesist.60451192.ger.abstr-s5-t1
DerAnaesthesist.60451192.ger.abstr-s5-r3-t3.1-t1.2
analyzes
DerAnaesthesist.60451192.ger.abstr-s11-t3
DerAnaesthesist.60451192.ger.abstr-s5-t1
DerAnaesthesist.60451192.ger.abstr-s5-r4-t1.2-t1.1
derivative_of
DerAnaesthesist.60451192.ger.abstr-s5-t1
DerAnaesthesist.60451192.ger.abstr-s11-t1
DerAnaesthesist.60451192.ger.abstr-s5-r5-t1.1-t1.2
surrounds
DerAnaesthesist.60451192.ger.abstr-s11-t1
DerAnaesthesist.60451192.ger.abstr-s5-t1
DerAnaesthesist.60451192.ger.abstr-s5-r6-t3.1-t1.2
affects
DerAnaesthesist.60451192.ger.abstr-s11-t3
DerAnaesthesist.60451192.ger.abstr-s5-t1
DerAnaesthesist.60451192.ger.abstr-s5-r7-t1.1-t1.2
location_of
DerAnaesthesist.60451192.ger.abstr-s11-t1
DerAnaesthesist.60451192.ger.abstr-s5-t1
DerAnaesthesist.60451192.ger.abstr-s9-r1-t2.1-t1.1
associated_with
DerAnaesthesist.60451192.ger.abstr-s11-t2
DerAnaesthesist.60451192.ger.abstr-s11-t1
DerAnaesthesist.60451192.ger.abstr-s9-r2-t1.1-t2.1
associated_with
DerAnaesthesist.60451192.ger.abstr-s11-t1
DerAnaesthesist.60451192.ger.abstr-s11-t2
DerAnaesthesist.60451192.ger.abstr-s11-r1-t1.1-t2.1
assesses_effect_of
DerAnaesthesist.60451192.ger.abstr-s11-t1
DerAnaesthesist.60451192.ger.abstr-s11-t2
DerAnaesthesist.60451192.ger.abstr-s11-r2-t3.1-t1.1
associated_with
DerAnaesthesist.60451192.ger.abstr-s11-t3
DerAnaesthesist.60451192.ger.abstr-s11-t1
DerAnaesthesist.60451192.ger.abstr-s11-r3-t2.1-t3.1
result_of
DerAnaesthesist.60451192.ger.abstr-s11-t2
DerAnaesthesist.60451192.ger.abstr-s11-t3
DerAnaesthesist.60451192.ger.abstr-s11-r4-t3.1-t2.1
result_of
DerAnaesthesist.60451192.ger.abstr-s11-t3
DerAnaesthesist.60451192.ger.abstr-s11-t2
DerAnaesthesist.60451192.ger.abstr-s11-r5-t1.1-t3.1
associated_with
DerAnaesthesist.60451192.ger.abstr-s11-t1
DerAnaesthesist.60451192.ger.abstr-s11-t3