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| 喉癌、喉咽癌手术相关肺血栓栓塞症的临床特点 | |
| 引用本文： | 王英俊,孙彦,李薇,华辉,黄沂传,葛瑞锋,韩敏. 喉癌、喉咽癌手术相关肺血栓栓塞症的临床特点[J]. 山东大学耳鼻喉眼学报, 2014, 28(2): 51-54. DOI: 10.6040/j.issn.1673-3770.0.2014.015 |
| 作者姓名： | 王英俊 孙彦 李薇 华辉 黄沂传 葛瑞锋 韩敏 |
| 作者单位： | 青岛大学附属医院耳鼻咽喉头颈外科， 山东 青岛 266003 |
| 摘 要： | 目的 探讨喉癌、喉咽癌手术相关肺血栓栓塞症的临床特点及其诊断和预防。方法 对11例喉癌、喉咽癌术后确诊为肺血栓栓塞症患者的临床表现、辅助检查、治疗方法等进行回顾性分析。结果 同期行喉癌手术453例、喉咽癌手术134例，其中11例术后确诊并发肺血栓栓塞症，占1.9%；临床表现以憋气、胸闷为主，确诊方法包括螺旋CT肺动脉造影8例、核素肺通气/灌注显像确诊3例；主要采用抗凝治疗。结论 喉癌、喉咽癌手术相关肺血栓栓塞症并不少见，应予高度警惕，手术前评估和围手术期预防十分重要。 |
| 关 键 词： | 喉肿瘤 肺栓塞 外科手术 喉咽肿瘤 |
| 收稿时间： | 2014-01-08 |
Clinical features of postoperative pulmonary thromboembolism associated with laryngeal and hypopharyngeal carcinoma |
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| WANG Ying-jun,SUN Yan,LI Wei,HUA Hui,HUANG Yi-chuan,GE Rui-feng,HAN Min. Clinical features of postoperative pulmonary thromboembolism associated with laryngeal and hypopharyngeal carcinoma[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2014, 28(2): 51-54. DOI: 10.6040/j.issn.1673-3770.0.2014.015 | |
| Authors: | WANG Ying-jun SUN Yan LI Wei HUA Hui HUANG Yi-chuan GE Rui-feng HAN Min |
| Affiliation: | Department of Otorhinolaryngology & Head and Neck Surgery, Affiliated Hospital of Qingdao University, Qingdao 266003, Shandong, China |
| Abstract: | Objective To analyze the clinical characteristics of pulmonary thromboembolism after the surgery of laryngeal and hypopharyngeal carcinoma, and evaluate the diagnosis and prevention of such complication. Methods A retrospective study was performed in 11 cases of postoperative pulmonary thromboembolism after laryngeal or hypopharyngeal carcinoma surgery. The symptoms, auxiliary examinations and treatment were analyzed. Results Among 453 laryngeal carcinoma and 134 hypopharyngeal carcinoma patients who underwent the surgery , there were 11 cases of postoperative pulmonary thromboembolism (1.9%). Chest distress and breath-hold were the most common clinical manifestations. 8 cases were diagnosed by computed tomography pulmonary angiography, and 3 cases were diagnosed by ventilation-perfusion (V/Q) scintigraphy. All of the 11 cases received anticoagulant treatment. Conclusion sThe pulmonary thromboembolism after laryngeal and hypopharyngeal carcinoma surgery is not rare. The preoperative evaluation and postoperative prevention are important. |
| Keywords: | Surgery Laryngeal neoplasm Pulmonary embolism Hypopharyngeal neoplasm |
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