Pulmonary Embolism after Surgery for Intestinal Obstruction .
10.4097/kjae.1979.12.3.302
- Author:
Kyoung Woong PARK
1
;
Woon Hyok CHUNG
Author Information
1. Department of Anesthesiology, Catholic Medical College, Seoul, Korea.
- Publication Type:Case Report
- MeSH:
Anesthesia, General;
Digitalis;
Diuretics;
Electrocardiography;
Extremities;
Halothane;
Heart;
Heparin;
Humans;
Intestinal Obstruction*;
Intestines;
Methods;
Myoma;
Nuns;
Oxygen;
Pulmonary Embolism*;
Tachycardia;
Thorax;
Tubocurarine
- From:Korean Journal of Anesthesiology
1979;12(3):302-307
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
This is a case report of pulmonary embolism which occurred as a complication of mesenteric venous stasis with sepais. This 49 year old nun was operated upon for an obstructed intestine under general anesthesia with halothane and d-tubocurarine. She had a hystrectomy for myoma 2 years ago and has ailed for 6 days from this condition. The patient became dyspneic and cyanotic suddenly three hours after the surgery. The chest X-ray revealed three or four bilateral, rounded and moderately increased densities, and her ECG showed a large S wave in limb leads, P-pulmonare, and right ventricular strain pattern with right axis deviation. CPPV with 100% oxygen by the manual method improved the condition of the patient for about three hours, but tachycardia and a failing heart could not be corrected in site of digitalis, steroid, diuretics and heparinization. The patient died 11 hours after the operation.