摘要
目的 评价浅低温心脏停跳手术治疗急性肺动脉栓塞的临床价值.方法 2004年4月至2009年10月对收治和住院期间12例急性肺动脉栓塞进行手术取栓治疗;均合并DVT;单侧PE7例、双侧5例,合并休克5例;心功能Ⅲ级7例、Ⅳ级5例;发病到手术时间平均9 h;结果12例病例中无一例复发,心功能均恢复至正常,完全恢复体力劳动.结论 手术取栓抢救急性肺动脉栓塞,临床效果良好,可以作为急性肺动脉栓塞的常规治疗方法之一.应当重视和开展急性肺栓塞的外科治疗.
Objective To evaluate the clinical value of surgical treatment for acute pulmonary embolism under shallow low temperature cardiopulmonary bypass.Methods From April 2004 to October 2009,the data of 12 inpatients with acute pulmonary embolism were analyzed.Deep vein thrombosis was present in ali patients.There were unilateral pulmonary embolism （n=7）,bilateral pulmonary embolism （n= 5）,shock （n=5）; heart function class Ⅲ （n=7） and heart function class Ⅳ （n=5）.The average time from onset to surgery was 9 hours.Results Among all cases,no recurrence was observed.All showed normal heart function and fully resumed manual labor.Conclusion Surgical thrombectomy for acute pulmonary embolism has an excellent clinical efficacy.Its routine use should be encouraged.
出处
《中华医学杂志》
CAS
CSCD
北大核心
2010年第34期2399-2401,共3页
National Medical Journal of China
关键词
急性肺栓塞
浅低温心脏停跳手术
手术取栓
心功能
Acute pulmonary embolism
Shallow low temperature cardiopulmonary bypass
Surgical thrombectomy treatment
Heart function
