肺动脉血栓栓塞症的诊断及外科治疗  

Diagnosis and surgical treatment of pulmonary thromboembolism

作　　者：张超纪[1] 任华[1] 苗齐[1] 刘兴荣[1] 马国涛[1] 

机构地区：[1]中国协和医科大学北京协和医院心外科,北京100730

出　　处：《新乡医学院学报》2007年第1期3-5,共3页Journal of Xinxiang Medical University

基　　金："十五"国家科技攻关项目资助(编号:2001BA703B13)

摘　　要：目的探讨肺动脉血栓栓塞(PTE)的诊断和治疗。方法总结10例肺动脉栓塞剥脱术病例的临床资料。结果9例在体外循环下行肺动脉取栓术,1例在非体外循环下手术。1例围术期死亡,9例存活;术后2周测不吸氧状态下动脉血氧分压、血氧饱和度均有显著改善,与术前比较有显著性差异(P<0.05);术后2周超声心动测肺动脉收缩压显著降低,与术前比较有显著性差异(P<0.05),生活质量明显改善。结论术前明确诊断、严格掌握手术适应证是手术成功的关键。Objective To report the experience in diagnosis and surgincal treatment of pulmonary thromboembolism （PTE）. Methods A clinical study was made in 10 patients who underwent pulmonary thromboembolism and surgical procedure. Results Nine patients with PTE were performed thromboembolectomy under cardiopulmonary bypass, one patient was performed thromboembolectomy under non-extracorporeal circlulation. One patient died of pulmonary re-embolism postoperatively, nine patients were survival. There was a marked increase of arterial partial pressure of oxygen and oxygen saturation （ P 〈 0.05） and pulmonary arterial systolic pressure decreased significantly （ P 〈 0.05 ） at the second postoperative week, with significant improvement in quality of life. Conclusion Good clinical results depend on preoperatively definite diagnosis and understanding of indications.

关 键 词：肺血栓栓塞 肺动脉高压 肺动脉血栓切除术 

分 类 号：R654.3[医药卫生—外科学]