术中肺栓塞的危险因素、诊断与治疗  

Intraoperative acute pulmonary embolism： risk factors, diagnosis and treatment

作　　者：郭剑[1] 金旭东[2] 冯智英[2] 

机构地区：[1]浙江大学医学院附属义乌医院麻醉科,322000 [2]浙江大学医学院附属第一医院麻醉科

出　　处：《国际麻醉学与复苏杂志》2013年第7期630-633,共4页International Journal of Anesthesiology and Resuscitation

基　　金：浙江省卫生厅课题（2010KYA085）

摘　　要：背景了解术中急性肺栓塞（acute pulmonary embolism，APE）的危险因素有利于APE的及时诊治。目的为术中APE的诊治和后续研究提供参考。内容对近年来术中APE的病因、临床表现、诊断治疗等文章及病例报道进行回顾分析。趋向术中经胸或经食管超声心动图检查可为术中APE的诊断提供相对可靠的指标。皮下注射低分子肝素用于短期抗凝治疗及癌栓的切开取栓治疗均可取得较好的疗效。Background Understanding the risk factors of intraoperative acute pulmonary embolism（APE） is beneficial for the prompt diagnosis and treatment. Objective This review is to discuss the diagnosis and treatment, and the subsequent research of APE. Content This review restrospectively analyzes the risk factors, clinical presentation, diagnosis and treatment of the intraoperative APE in relevant articles and case reports. Trend The examination of transthoracic or transesophageal echocardiography during operation may provide a relatively reliable diagnosis of APE. Hypodermic injection of low molecule weight heparin for short-term anticoagulation and thrombectomy for patients with tumor thrombus may produce a relatively good therapeutic effect.

关 键 词：手术 急性肺栓塞 病因 诊断 治疗 

分 类 号：R[医药卫生]