外科手术后肺栓塞相关因素分析及防治策略

目的探讨外科手术后急性肺栓塞发生的相关因素及防治策略。方法回顾性分析我院1999至2006年期间术后发生肺栓塞35例患者的临床资料。结果35例术后肺栓塞病人年龄28-71岁。其中低分子肝素抗凝治疗25例,尿激酶溶栓治疗8例,31例临床症状显著改善。4例病人在发病后1小时内死亡。结论肺栓塞是外科手术后常见的并发症之一,年轻病人亦不少见。早期诊断、积极抗凝和/或溶栓治疗可改善预后。

Reason analysis of postoperative pulmonary embolism and prevention strategy

Objective: To discuss the reason for postoperative pulmonary embolism(PE) and prevention strategy.Methods: The clinical data of 45 postoperative patients with pulmonary embolism were analyzed retrospectively from 1999 to 2006.Results: The range of 35 patients' age was 28-71 years.There are 25 cases with anticoagulant therapy and 8 cases with thrombolytic therapy.Clinical symptoms of 31 cases were improved obviously.4 cases died in an hour after PE.Conclusions: PE is a common complication after surgical opration even in young patients.It is important to make early diagnosis of PE and to start treatment of anticoagulant and thrombolysis immediately will improve the crue rate.