胸腔镜肺叶切除术后肺栓塞诊断及治疗策略  

Diagnosis and Treatment Strategy of Pulmonary Embolism after Video-assisted Thoracic Lobectomy

作　　者：徐昊[1] 郭聪颖[1] 鲁煜 张临友[1] Hao XU;Congying GUO;Yu LU;Linyou ZHANG(Department of Thoracic Surgery,The Second Hospital Affiliated to Harbin Medical University,Harbin 150000,China)

机构地区：[1]哈尔滨医科大学附属第二医院胸外科,哈尔滨150000

出　　处：《中国肺癌杂志》2018年第10期790-792,共3页Chinese Journal of Lung Cancer

摘　　要：背景与目的总结胸腔镜肺叶切除术后肺栓塞患者的临床特征,探讨肺叶切除术后肺栓塞的诊治方法及预防手段。方法回顾性分析哈尔滨医科大学附属第二医院胸外科2007年7月-2017年7月间肺叶切除术术后6例肺栓塞患者的临床资料。结果 6例患者中3例在发病24 h内死亡,3例患者治愈出院。结论肺叶切除术后肺栓塞是胸外科少见的术后并发症,诊断困难,病死率高。术前血栓风险评估及术后预防十分重要。Background and objective To summarize the clinical features of patients with pulmonary embo- lism after lobectomy and to explore the methods of diagnosis and treatment of pulmonary embolism after lobectomy. Methods The clinical data of 6 patients with pulmonary embolism after lobectomy between July 2007 and July 2017 were retrospectively analyzed. Results Of the 6 patients, 3 died within 24 h of onset and 3 patients were cured and discharged. Conclusion Pulmonary embolism after lobectomy is a rare postoperative complication in thoracic surgery. It is difficult to diagnose and has a high mortality rate. Preoperative thromboembolic risk assessment and postoperative prevention are important.

关 键 词：胸腔镜 肺叶切除 肺栓塞 

分 类 号：R563.5[医药卫生—呼吸系统]