肺动脉血栓内膜剥脱术后大量肺出血。

Massive pulmonary hemorrhage after pulmonary thromboendarterectomy.

作者信息

Manecke Gerard R, Kotzur Andreas, Atkins Gus, Fedullo Peter F, Auger William R, Kapelanski David P, Jamieson Stuart W

机构信息

Departments of *Anesthesiology and †Cardiac Anesthesiology, ‡Division of Pulmonary Medicine, and §Department of Surgery, Division of Cardiothoracic Surgery, University of California-San Diego Medical Center, La Jolla, California.

出版信息

Anesth Analg. 2004 Sep;99(3):672-675. doi: 10.1213/01.ANE.0000130000.15786.82.

DOI:10.1213/01.ANE.0000130000.15786.82

PMID:15333391

Abstract

Pulmonary thromboendarterectomy, the most common surgical treatment of chronic thromboembolic pulmonary hypertension, is being performed with increasing frequency throughout the world. Massive pulmonary hemorrhage is a potentially fatal complication of this procedure. In this report of three such cases, the diagnosis, clinical course, and possible treatments are discussed. Anesthesiologists involved in the care of patients receiving pulmonary thromboendarterectomy must be aware of the possibility of this complication, as well as the various techniques available for its treatment.

摘要

肺动脉血栓内膜剥脱术是慢性血栓栓塞性肺动脉高压最常见的外科治疗方法，目前在全球范围内的实施频率越来越高。大量肺出血是该手术潜在的致命并发症。在这份关于三例此类病例的报告中，讨论了其诊断、临床过程及可能的治疗方法。参与接受肺动脉血栓内膜剥脱术患者护理的麻醉医生必须意识到这种并发症的可能性，以及可用于治疗的各种技术。