Two cases of acute pulmonary embolism in head and neck tumor surgery.
- Author:
Yongchao ZHANG
;
Rui WANG
;
Lan MU
- Publication Type:Case Reports
- MeSH:
Anesthesia, General;
Electrocardiography;
Fibrin Fibrinogen Degradation Products;
Humans;
Hypopharyngeal Neoplasms;
surgery;
Laryngeal Neoplasms;
surgery;
Male;
Oxygen;
Postoperative Complications;
Pulmonary Embolism
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2015;29(2):177-178
- CountryChina
- Language:Chinese
-
Abstract:
A male patient with hypopharyngeal cancer accepted operation under general anesthesia. Sixth day after surgery in patient with sudden chest pain and obvious difficulty in breathing. Blood oxygen saturation of 90%. The electrocardiogram showed: ST-T change,Tv6 flat;blood gas analysis: pH 7. 491, PCO2 34. 1 mmHg, PO2 54. 7 mmHg; D-Dimer 3. 87 mg/L; white blood cell 17. 50 × 10(9)/L. CTPA showed: right pulmonary artery embolism,pulmonary infection. Another male patient with the right tonsil cancer accepted operation under general anesthesia. Fourth day of patient suddenly appear bosom frowsty and obvious difficulty in breathing. Blood oxygen sat- uration of 88%. Blood gas analysis: pH: 7. 48, PCO2 : 33 mmHg, PO2 : 57 mmHg; D-Dimer: 2. 97 mg/L; white blood cell:11. 80 × 10(9)/L. CTPA showed: the main pulmonary artery and right pulmonary artery branch embolism, pulmonary inflammation. Both were diagnosised as acute pulmonary embolism and recovered well after giving anticoagulant therapy in time.
