Koshiko S, Yamazaki K, Akasaka N, Azuma N, Goh K, Hirata S, Inaba M, Sasajima T
First Department of Surgery, Asahikawa Medical University, Asahikawa, Japan.
Kyobu Geka. 2003 Aug;56(9):769-72.
We have experienced a case of acute pulmonary embolism after lung cancer operation. The case was a 74-year-old male. He underwent left upper lobectomy due to squamous cell carcinoma. He fell into shock state suddenly on the 6th day postoperatively. We diagnosted acute pulmonary embolism, performed urgent embolectomy under percutaneous cardiopulmonary support (PCPS). Postoperative course was smooth, and he has returned to normal daily life. Urgent diagnosis and management are indispensable for acute pulmonary embolism after lung cancer operation from the aspect of residual among of pulmonary vascular bed.
我们遇到了一例肺癌手术后发生急性肺栓塞的病例。该病例为一名74岁男性。他因鳞状细胞癌接受了左上叶切除术。术后第6天突然陷入休克状态。我们诊断为急性肺栓塞,在体外膜肺氧合支持下进行了紧急栓子切除术。术后病程顺利,他已恢复正常日常生活。从肺血管床残留量的角度来看,对于肺癌手术后的急性肺栓塞,紧急诊断和处理是必不可少的。