Rao Gopal, Nolan Sean, Clare David
Department of Surgery and Medicine, Shadyside Hospital, Pittsburgh, Pennsylvania.
Cardiovasc Dis. 1981 Mar;8(1):108-113.
Four patients developed massive pulmonary embolism after jejuno-ileal bypass for morbid obesity. All patients were in Greenfield's Class IV and were in shock. Severe hypoxia was evidenced in their blood gases. The patients were managed with digitalis, diuretics, Solu-Medrol (methylprednisolone sodium succinate), oxygen, and heparin therapy. Each patient underwent partial vena cava interruption with Mobin Uddin's umbrella, and all four survived without residual complications.
四名患者在接受空肠回肠旁路手术治疗病态肥胖后发生了大面积肺栓塞。所有患者均处于格林菲尔德IV级，且处于休克状态。他们的血气分析显示存在严重缺氧。对这些患者采用了洋地黄、利尿剂、甲强龙（甲泼尼龙琥珀酸钠）、氧气和肝素进行治疗。每名患者均接受了用莫宾·乌丁伞进行的部分腔静脉阻断术，所有四名患者均存活且无残留并发症。
