Kortbeek J B, Clark J A, Carraway R C
Carraway Methodist Medical Center, Birmingham, Alabama.
J Trauma. 1992 Dec;33(6):906-8. doi: 10.1097/00005373-199212000-00020.
A case of pulmonary artery bullet embolism managed by observation with no complications at 9-month follow-up prompted a review of the literature. We found a total of 32 cases reported since 1966, with no deaths. Fourteen of the patients were managed by observation and five patients were followed with no resulting complications noted. Conservative management of selected cases of pulmonary artery bullet emboli may be warranted in light of the risks of extraction. These cases should continue to be reported with follow-up.
1例肺动脉子弹栓塞患者经观察治疗,9个月随访无并发症,促使我们对文献进行回顾。我们发现自1966年以来共报告了32例,无死亡病例。其中14例患者经观察治疗,5例患者随访未发现并发症。鉴于取出子弹存在风险,对于部分肺动脉子弹栓塞病例,保守治疗可能是合理的。这些病例应持续报告并随访。