食管癌术后并发急性肺血栓栓塞症27例临床分析

目的总结食管癌术后并发急性肺栓塞的临床特征、诊断和治疗，以提高其诊断率和治愈率。方法分析27例食管癌术后并发急性肺栓塞患者的症状、体征、各项辅助检查在诊断中的价值以及抗凝、溶栓治疗的重要性。结果本组27例患者经溶栓、抗凝等治疗后，治愈23例（86％），死亡4例（14％）。结论食管癌术后并发急性肺栓塞临床表现缺乏特异性，早期诊断，早抗凝、溶栓，大部分患者可获得较好的预后。

Acute pulmonary thromboembolism after the operation of esophageal cancer in 27 cases

Objective To improve the rate of diagnosis and cure in acute pulmonary embolism after the operation of esophageal cancer by summarizing the feature of its clinical symptoms, diagnosis and treatments. Methods Analyzing the importance of symptoms, signs, and the auxiliary examination in the diagnosis of the 27 patients with acute puhnonary embolism and the importance of antieoagulation and thrombolysis in the therapy of the disease. Results Twenty - two patients （ 86% ） were cured after the treatment of anticoagulation and thrombolysis, and 4 patients （ 14% ） were dead. Conclusions The acute pulmonary embolism is lack of specific clinical symptoms and the treatment of anticoagulation and thrombolysis can help most patients receive a better prognosis.