Saito G, Takasuna K, Yoshida K, Nishimura H
Department of Thoracic Surgery, Ina Central Hospital, Ina, Japan.
Kyobu Geka. 2007 Sep;60(10):946-9.
We reported 2 cases of acute pulmonary embolism after resection for lung cancer. A 47-year-old male was admitted to our hospital with ground-glass opacity (GGO) on a chest computed tomography (CT). We performed a right upper lobectomy and node dissection (ND) 2a dissection. Two days after the operation, he developed hypotension and hypoxemia. He was diagnosed as acute pulmonary embolism by chest CT and lung scintigram. A 68-year-old women was performed right S6 segmentectomy for lung cancer. The next day, she complained of sudden chest discomfort and dyspnea. She was diagnosed as acute pulmonary embolism by chest CT. Immediately, we started anticoagration therapy with heparin and their condition were improved. It was very important to early diagnose and start anticoagration therapy immediately for acute pulumonary embolism.
我们报告了2例肺癌切除术后发生急性肺栓塞的病例。一名47岁男性因胸部计算机断层扫描（CT）显示磨玻璃影（GGO）入住我院。我们进行了右上叶切除术和2a组淋巴结清扫术（ND）。术后两天，他出现低血压和低氧血症。通过胸部CT和肺闪烁扫描诊断为急性肺栓塞。一名68岁女性因肺癌接受了右S6段切除术。术后第二天，她主诉突发胸部不适和呼吸困难。通过胸部CT诊断为急性肺栓塞。我们立即开始用肝素进行抗凝治疗，其病情得到改善。对于急性肺栓塞，早期诊断并立即开始抗凝治疗非常重要。
