Diagnosis and treatment of pulmonary embolism secondary to hepatectomy in patients with hepatic tumors
10.3724/SP.J.1008.2010.01006
- Author:
Lei YIN
1
Author Information
1. Third Hepatic Surgery Department
- Publication Type:Journal Article
- Keywords:
Hepatectomy;
Liver neoplasms;
Postoperative complications;
Pulmonary embolism
- From:
Academic Journal of Second Military Medical University
2010;31(9):1006-1009
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To analyze the clinical characteristics of pulmonary embolism(PE) after hepatectomy in patients with hepatic tumors, and to summarize our experience on the diagnosis, treatment and prevention of the condition. Methods: From Jan. 2005 to Dec. 2009, a total of 13,054 person-times with hepatic tumor underwent hepatectomy in our hospital, and 4 cases developed PE after hepatectomy. The clinical characteristics, pathogenic mechanism, diagnosis and treatment of the 4 patients were retrospectively analyzed. Results: The incidence of PE was 0.03% after hepatectomy in the present cohort. PE developed from day 2 to day 6 after hepatectomy; the symptoms included shortness of breath, cyanosis, chest distress, cardiopalmus, sudden death, and decrease of oxygen partial pressure(PaO2) and saturation of blood oxygen(SaO 2). One (25%) of the 4 patients died. Conclusion: PE is a serious complication after hepatectomy for hepatic tumor. Emergent chest X-ray and D-Dimer examination can make early and clear diagnosis; the condition should be managed once it is confirmed.
