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冠状动脉手术后肺栓塞的发生率及预防

Incidence and prevention of pulmonary embolism after coronary artery surgery.

作者信息

Rao G, Zikria E A, Miller W H, Samadani S R, Ford W B

出版信息

Vasc Surg. 1975 Jan-Feb;9(1):37-45. doi: 10.1177/153857447500900106.

DOI:10.1177/153857447500900106
PMID:1079102
Abstract

Pulmonary embolism is one of the common complications of aortocoronary artery graft surgery. During one year period, 22 patients had documented evidence of pulmonary embolism out of 231 patients who were operated. There were four deaths and all confirmed by autopsy. Clinical signs of phlebitis were absent in many cases of pulmonary embolism. Elastic stockings were not effective to prevent phlebitis. Heparin did not prevent deaths in all four patients. Heparin therapy and aggressive caval interruption by Modin-Uddin umbrella has eliminated deaths in the last 450 cases.

摘要

肺栓塞是主动脉冠状动脉搭桥手术常见的并发症之一。在一年时间里,231例接受手术的患者中有22例有肺栓塞的记录证据。有4例死亡,均经尸检证实。许多肺栓塞病例没有静脉炎的临床体征。弹性袜对预防静脉炎无效。肝素未能防止所有4例患者死亡。在最近450例病例中,肝素治疗和使用莫丁 - 乌丁伞进行积极的腔静脉阻断已消除了死亡情况。

相似文献

1
Incidence and prevention of pulmonary embolism after coronary artery surgery.冠状动脉手术后肺栓塞的发生率及预防
Vasc Surg. 1975 Jan-Feb;9(1):37-45. doi: 10.1177/153857447500900106.
2
"No-vent" technique of coronary artery bypass.冠状动脉搭桥的“无通气”技术
Ann Thorac Surg. 1975 Feb;19(2):191-5. doi: 10.1016/s0003-4975(10)64001-5.
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Aortocoronary saphenous vein autograft accidentally attached to a coronary vein: follow-up angiography and surgical correction of the resultant arteriovenous fistula.意外连接至冠状静脉的主动脉冠状动脉大隐静脉自体移植:动静脉瘘的随访血管造影及手术矫正
Ann Thorac Surg. 1976 Jul;22(1):87-90. doi: 10.1016/s0003-4975(10)63958-6.
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Aortocoronary bypass made possible by coronary endarterectomy.冠状动脉内膜切除术使主动脉冠状动脉搭桥术成为可能。
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Saphenous vein bypass surgery for impending myocardial infarction. Critical evaluation and current concepts.大隐静脉搭桥手术治疗急性心肌梗死。批判性评估与当前概念。
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Infected saphenous vein coronary artery bypass graft with mycotic aneurysm. Fatal dehiscence of the proximal anastomosis.感染性大隐静脉冠状动脉旁路移植术合并霉菌性动脉瘤。近端吻合口致命性裂开。
Chest. 1979 Jan;75(1):76-7. doi: 10.1378/chest.75.1.76.
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Left ventricular haemodynamics before and soon after saphenous vein bypass graft operation for angina pectoris.用于治疗心绞痛的大隐静脉旁路移植手术前后的左心室血流动力学
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Continuous heart murmur following aorto-coronary bypass surgery.主动脉冠状动脉搭桥手术后的连续性心脏杂音。
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Depression of left ventricular function due to acute myocardial ischemia and its reversal after aortocoronary saphenous-vein bypass.
N Engl J Med. 1972 May 25;286(21):1117-22. doi: 10.1056/NEJM197205252862101.

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2
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Pulmonary embolus after coronary artery bypass surgery: a review of the literature.冠状动脉搭桥手术后的肺栓塞:文献综述
Clin Cardiol. 2000 Sep;23(9):637-44. doi: 10.1002/clc.4960230903.
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Massive pulmonary embolism 3 hours after cardiopulmonary bypass. An exceeding rare case.体外循环后3小时发生大面积肺栓塞。极为罕见的病例。
Tex Heart Inst J. 1994;21(4):314-6.