摘要
报告5年中各种手术后并发肺栓塞14例,其发生率为0.47‰。栓子主要来源于髂、股静脉的血栓形成(明确的为9例),10例死于此合并症。尸检6例,栓塞范围均为一侧肺动脉主支或多支。结合近期文献复习,对此手术术后危重合并症的原因、诊断、治疗及预防作了讨论,提出临床症状、动脉血气、心电图及胸部X线片的综合分析对诊断的价值。对内科治疗未能迅即收效的病人,主张行积极的手术取栓治疗。
14 cases of postoperative pulmonary embolism were reported. The incidence of this postoperative complication was 0.47‰ during a 5-year period. The main source of embolus was ileo-fomoral venous thrombosis (confirmed in 9 cases). 10 patients died of this complication, autopsy in 6 of them revealed the embolism occurred in a main pulmonary artery on one or both sides. With a review of recent literatures, the authors discussed the causes, diagnosis, treatment and prevention of this fatal complication, and pointed out the diagnostic value of a comprohensive study of clinical manifestations, arterial blood gas analysis, EKG and plain chest film findings. A more aggressive attitude towards the acceptance of pulmonary embolectomy was suggested in those patients who failed to respond rapidly to medical managment.
出处
《解放军医学杂志》
CAS
CSCD
北大核心
1993年第6期409-411,共3页
Medical Journal of Chinese People's Liberation Army
关键词
肺栓塞
手术后
并发症
Pulmonary embolism
Postoperative complication
