肺动脉血栓栓塞症的诊断及外科治疗

目的探讨肺动脉血栓栓塞(PTE)的诊断和治疗。方法总结10例肺动脉栓塞剥脱术病例的临床资料。结果9例在体外循环下行肺动脉取栓术,1例在非体外循环下手术。1例围术期死亡,9例存活;术后2周测不吸氧状态下动脉血氧分压、血氧饱和度均有显著改善,与术前比较有显著性差异(P<0.05);术后2周超声心动测肺动脉收缩压显著降低,与术前比较有显著性差异(P<0.05),生活质量明显改善。结论术前明确诊断、严格掌握手术适应证是手术成功的关键。

Diagnosis and surgical treatment of pulmonary thromboembolism

Objective To report the experience in diagnosis and surgincal treatment of pulmonary thromboembolism(PTE).Methods A clinical study was made in 10 patients who underwent pulmonary thromboembolism and surgical procedure.Results Nine patients with PTE were performed thromboembolectomy under cardiopulmonary bypass,one patient was performed thromboembolectomy under non-extracorporeal circlulation.One patient died of pulmonary re-embolism postoperatively,nine patients were survival.There was a marked increase of arterial partial pressure of oxygen and oxygen saturation(P<0.05) and pulmonary arterial systolic pressure decreased significantly(P<0.05) at the second postoperative week,with significant improvement in quality of life.Conclusion Good clinical results depend on preoperatively definite diagnosis and understanding of indications.