Brevetti Gregory R, O'Brien Benjamin, Coomer Cynara L, Hall Timothy S, Brevetti Lucy S, Jablons David M
Division of Cardiothoracic Surgery, University of California-San Francisco, San Francisco, California, USA.
Tex Heart Inst J. 2003;30(2):149-51.
We treated a 52-year-old man for a large pleural effusion that had occurred after he fell from a ladder. Upon discharge from the hospital, the patient collapsed and was nonresponsive and hypotensive. We suspected the cause to be pulmonary embolism. When it became evident that this patient would die without emergent intervention, he was taken to surgery. A massive clot was removed from the left pulmonary artery, and multiple smaller clots were removed from both pulmonary arteries. The patient recovered and was discharged from the hospital on the 11th postoperative day. To our knowledge, this is the 1st report of pulmonary embolectomy being performed on the basis of clinical diagnosis alone.
我们治疗了一名52岁男性，他因从梯子上跌落导致大量胸腔积液。出院时，患者突然晕倒，无反应且血压降低。我们怀疑病因是肺栓塞。当明显看出该患者若不紧急干预将会死亡时，他被送去接受手术。从左肺动脉取出了一个巨大血栓，并且从双侧肺动脉取出了多个较小的血栓。患者康复并于术后第11天出院。据我们所知，这是首例仅基于临床诊断进行肺栓子切除术的报告。
