Saito T, Terada Y, Fukuda S, Sakao Y, Takayama T, Suma H, Wanibuchi Y, Furuta S
Department of Cardiovascular Surgery, Mitsui Memorial Hospital.
Kyobu Geka. 1991 Nov;44(12):1003-5.
The cases of acute pulmonary thromboembolism after coronary artery bypass surgery have been rarely reported in Japan. We, however, experienced 2 cases of them and lost them against intensive therapy. In Mitsui Memorial Hospital, 6 cases of pulmonary thromboembolism had been diagnosed in 1990 (0.074% in admission patients), four of the cases had occurred following surgical procedures. Its manifestations are deceivingly nonspecific and are difficult to distinguish perioperative myocardial infarction, pericardial tamponade, and pneumothorax, especially in postoperative states. We would like to emphasize that acute pulmonary thromboembolism is getting important problems also in Japan.
在日本，冠状动脉搭桥手术后发生急性肺血栓栓塞的病例鲜有报道。然而，我们遇到了2例这种情况，尽管进行了强化治疗，患者仍不幸死亡。1990年，三井纪念医院共诊断出6例肺血栓栓塞病例（占住院患者的0.074%），其中4例发生在手术之后。其表现具有欺骗性，缺乏特异性，很难与围手术期心肌梗死、心包填塞和气胸区分开来，尤其是在术后状态下。我们想强调的是，急性肺血栓栓塞在日本也正成为一个重要问题。
