Nemec P, Kaláb M, Gwozdziewicz M, Hájek R
Kardiochirurgická klinika Lékarské fakulty UP a FN Olomouc.
Vnitr Lek. 2006 Sep;52(9):812-4.
The case-report of a 57-year-old patient with the symptoms of massive pulmonary embolism is presented. The patient was admitted to the hospital in the cardiogenic shock, ventilated and with high dose of inotropic support. It was impossible to find out the exact data from personal history. The patient was operated on urgently. The chronic occlusion of the right pulmonary artery due to the chronic tromboembolic disease was found out. Thromboendarterectomy of the pulmonary artery was successfully performed. Three month after operation the patient is in excellent clinical condition almost without any functional limitation. Some atypical features of this case are stressed in the discussion: the urgency of the operation for chronic tromboembolic disease with unilateral involvement, which simulated pulmonary embolism and operation in mild hypothermia without circulatory arrest.
本文报告了一名57岁有大面积肺栓塞症状患者的病例。患者因心源性休克入院，接受通气治疗并给予大剂量的强心支持。无法从个人病史中获取确切数据。患者接受了紧急手术。发现是慢性血栓栓塞性疾病导致右肺动脉慢性闭塞。成功实施了肺动脉血栓内膜切除术。术后三个月，患者临床状况极佳，几乎没有任何功能限制。讨论中强调了该病例的一些非典型特征：单侧受累的慢性血栓栓塞性疾病的手术紧迫性，该疾病模拟了肺栓塞，以及在轻度低温且无循环停止的情况下进行手术。
