The diagnosis and management of postoperative pulmonary embolism
10.3760/cma.j.issn.1007-631X.2012.04.012
- VernacularTitle:手术后肺栓塞的临床特点与诊治
- Author:
Qianyun ZHOU
;
Jihong ZHU
;
Hong ZOU
;
Chang DU
- Publication Type:Journal Article
- Keywords:
Pulmonary embolism;
Postoperative complications
- From:
Chinese Journal of General Surgery
2012;27(4):299-301
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo evaluate the diagnosis and treatment of postoperative pulmonary embolism(PE). MethodsWe retrospectively analyzed clinical manifestations,diagnosis,treatment and prognosis of 51 postoperative PE. Results36 PE (70.59％ ) developed after orthopaedic surgery or with malignant tumors within 1 week after surgery.Dyspnea or chest distress was the most common symptoms.Sudden death was common in patients with PE.Problems in diagnosis of PE included:poor assessment of deep vein thrombosis(DVT) before operation,and the value of beside echocardiography in the diagnosis of patients with suspected high-risk PE was not fully recognized. Twenty-three PE cases received only anticogulant treatment.Intravenous thrombolysis or percutaneous interventional techniques were undertaken in 3 each cases.Cardiopulmonary resuscitation(CPR) simply after sudden death due to postoperative PE was often unsuccessful.ConclusionsPostoperative PE is a common cause of death,currently available measures are often ineffective.The key lies in prevention especially in those of high-risk PE or suspected non-high-risk PE.
