Pulmonary embolism after greater saphenous vein ligation and stripping
10.3760/cma.j.issn.1007-631X.2015.02.011
- VernacularTitle:大隐静脉曲张术后并发肺栓塞11例的治疗
- Author:
Xiaotian WANG
;
Hejie HU
;
Zhengdong FANG
;
Xiaojie SUN
;
Xinbao GE
;
Zhenming LIU
- Publication Type:Journal Article
- Keywords:
Varicose veins;
Pulmonary embolism;
Postoperative complications
- From:
Chinese Journal of General Surgery
2015;30(2):123-125
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze characteristics and prophylaxis of pulmonary embolism (PE) after greater saphenous vein ligation and stripping.Methods We retrospectively analyzed the clinical characteristics and treatment of 11 inpatients with postoperative PE in Anhui Provincial Hospital and other hospitals from January 2008 to June 2013.Results In this group 6 patients died after failed cardiopulmonary resuscitation (CPR) and other treatments,the mortality was 54.5％.5 patients recovered after anticoagulation,thrombolysis and other treatments.During the process of thrombolysis,floating thrombus was found within the femoral vein in 2 patients and inferior vena cava filter was implanted.After 8-25 months follow-up,all 5 patients were free of difficulty of breathing,chest tightness,chest pain and other symptoms.Among many clinical manifestations,dyspnea (90.9％) was the most common,other clinical manifestations included chest pain (27.3％),syncope (18.2％),sudden death (18.2％).There was no typical triad of dyspnea,chest pain and hemoptysis in these patients.Conclusions Early diagnosis and early treatment of PE are most important to decrease mortality and to improve the prognosis of patients suffering from postoperative PE.
