Taniguchi Satoshi, Fukuda Ikuo, Minakawa Masahito, Watanabe Ken-Ichi, Daitoku Kazuyuki, Suzuki Yasuyuki
Department of Cardiovascular Surgery, Hirosaki University School of Medicine, 5 Zaifu-cho, Hirosaki, Aomori 036-8562, Japan.
Surg Today. 2008;38(1):59-61. doi: 10.1007/s00595-007-3570-0. Epub 2007 Dec 24.
We report a case of acute massive pulmonary thromboembolism, which occurred during the second trimester of pregnancy in a 35-year-old woman with thrombocytopenia and anemia secondary to myelodysplastic syndrome. We performed successful emergency pulmonary embolectomy, under cardiopulmonary bypass, using argatroban as an anticoagulant. An intra-aortic balloon pump was used to maintain placental blood flow. The patient recovered completely and was later delivered of a healthy baby. Thus, pulmonary embolectomy saved both the mother and the fetus.
我们报告一例急性大面积肺血栓栓塞症，发生在一名35岁患有骨髓增生异常综合征继发血小板减少症和贫血的孕妇妊娠中期。我们在体外循环下成功实施了急诊肺栓子切除术，使用阿加曲班作为抗凝剂。使用主动脉内球囊泵维持胎盘血流。患者完全康复，后来产下一名健康婴儿。因此，肺栓子切除术挽救了母亲和胎儿。
