围手术期内肺栓塞35例临床分析  

Clinical analysis of 35 cases with perioperative pulmonary embolism

作　　者：高志海[1] 葛国祥[3] 张晓梅[1] 刘长柱[2] 

机构地区：[1]北京市第六医院普外科,100007 [2]北京市第六医院放射科,100007 [3]北京京煤集团总医院普外科,100007

出　　处：《中华全科医师杂志》2008年第5期341-343,共3页Chinese Journal of General Practitioners

摘　　要：回顾分析2000年1月至2006年10月外科患者围手术期发生的35例肺栓塞病例临床资料。2例未经治疗死亡；33例常规行抗凝、溶栓治疗，其中经皮导管介入行肺动脉溶栓术3例，治愈或好转29例（29／35），无效死亡4例。提示应提高对围手术期肺栓塞的认识，以便早期发现、早期治疗，减少和避免严重后果。Thirty-five patients with perioperative pulmonary embolism during January 2000 and October 2006 were analyzed retrospectively. Disease diagnosis and treatment outcomes were assessed. Of the 35 patients, 2 died without any management, and 33 received conventional anti-coagulation and tbrombolysis, including 3 percutaneous catheterization. Disease improvement was seen in 29. Four deaths occurred after no response to the treatment. Thus, early diagnosis and treatment, which might depend on further understanding of pulmonary embolism, could play an important role in reduced adverse events. Prevention is crucial to avoid perioperative occurrence of pulmonary embolism.

关 键 词：肺栓塞 手术期间 临床分析 疗效 

分 类 号：R563[医药卫生—呼吸系统]