Management of pulmonary thromboembolism in post-operative neurosurgical patients.
- Author:
Jun-Ji WEI
1
;
Ya-Hong GONG
;
Ren-Zhi WANG
;
Wen-Bin MA
;
Yi YANG
;
Zhi-Qin XU
;
Bing XING
;
Yong-Ning LI
;
Gui-Lin LI
;
Yong YAO
;
Yu-Guang HUANG
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Female; Humans; Male; Middle Aged; Neurosurgical Procedures; Postoperative Complications; diagnosis; therapy; Pulmonary Embolism; diagnosis; etiology; therapy; Retrospective Studies
- From: Acta Academiae Medicinae Sinicae 2010;32(3):332-335
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo summarize the diagnosis and treatment of pulmonary thromboembolism (PTE) in post-operative neurosurgical patients.
METHODSWe retrospectively analyzed the clinical data of 7 patients who experienced pulmonary thromboembolism after neurosurgical operations in our department from October 2009 to March 2010.
RESULTSOf these 7 patients, 6 were confirmed with computed tomographic pulmonary angiography (CTPA) and 1 was diagnosed according to the clinical manifestations and other diagnostic examinations. All the patients were treated initially with low-dose heparin or low-molecular-weight heparin and then with warfarin. Two patients were implanted with permanent inferior vena cava filters before anticoagulation. One received anticoagulant therapy and died of respiratory failure due to pulmonary embolism on the fourth post-operative day. Six patients were discharged after significant improvement.
CONCLUSIONSMany risk factors may cause PTE peri-operatively. Post-operative CTPA may be indicated. Anticoagulation and other management strategies may be applied to improve the outcome.
