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[在存在深静脉血栓形成的情况下进行肾上腺下腔静脉和肾上腺上腔静脉取栓术以预防肺栓塞。11例手术治疗病例的个人经验]

[Thrombectomy of the infra- and suprarenal cava to prevent pulmonary embolism in the presence of deep venous thrombosis. Personal experience with 11 surgically-treated cases].

作者信息

Giorgetti P L, Arpesani A, Bortolani E M, Rignano A, Morbidelli A, Vandone P L, Miani S

机构信息

Istituto Chirurgia Generale e Cardiovascolare, Università di Milano.

出版信息

Minerva Chir. 1991 Sep 30;46(18):953-61.

PMID:1754092
Abstract

DVT is a fairly frequent event and often fails to be recognised. Its main complication, pulmonary embolism, is the third cause of death in Italy with more than 70,000 deaths per annum. In the presence of infra- and suprarenal floating thrombi, cases in which the application of neither intraluminal nor extraluminal filters is indicated, the treatment of choice is thrombectomy with direct surgical access to the cava. Personal experience of 11 patients operated in the past 16 months with excellent surgical success is analysed. The indications and surgical techniques adopted are described.

摘要

深静脉血栓形成(DVT)是一种相当常见的病症,且常常未被识别。其主要并发症肺栓塞是意大利的第三大死因,每年有超过7万例死亡病例。在存在肾下和肾上浮动血栓的情况下,即既不适合应用腔内滤器也不适合应用腔外滤器的病例中,首选的治疗方法是通过直接手术进入下腔静脉进行血栓切除术。分析了过去16个月中对11例患者进行手术且手术取得极佳成功效果的个人经验。描述了所采用的适应症和手术技术。

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