Ando Motomi
Department of Cardiovascular and Thoracic Surgery, Fujita Health University School of Medicine.
Nihon Rinsho. 2003 Oct;61(10):1769-74.
Acute massive pulmonary thromboembolism is a life threatening disorder that must be treated immediately. We performed emergent pulmonary thrombectomy using cardiopulmonary bypass on 15 patients. The patients were 7 men and 8 women aged 28 to 81 years. Early diagnosis was made by body CT scan and echocardiography. When patient had massive pulmonary thromboembolism, when hemodynamics could not be improved by medical treatment, direct embolectomy was performed immediately. 12 patients developed shock and 8 patients underwent cardiac massage. Among 15 patients, 11 were saved by surgical treatment, while the remaining 4 died of multiple organ failure, cardiac failure and mediastinitis. The lives of patients with acute massive pulmonary thromboembolism can be saved by early detection and emergent thrombectomy using cardiopulmonary bypass.
急性大面积肺血栓栓塞症是一种危及生命的疾病，必须立即进行治疗。我们对15例患者采用体外循环进行了急诊肺血栓切除术。患者年龄在28至81岁之间，其中男性7例，女性8例。通过胸部CT扫描和超声心动图进行早期诊断。当患者发生大面积肺血栓栓塞症，且内科治疗无法改善血流动力学时，立即进行直接取栓术。12例患者发生休克，8例患者接受了心脏按摩。15例患者中，11例经手术治疗获救，其余4例死于多器官功能衰竭、心力衰竭和纵隔炎。急性大面积肺血栓栓塞症患者的生命可通过早期发现并采用体外循环进行急诊血栓切除术来挽救。
