Kusaka Yusuke, Sawai Toshiyuki, Ito Masayuki, Oka Masayuki, Miyazaki Shinichiro, Tanaka Motoshige, Minami Toshiaki
Department of Anesthesiology, Osaka Medical College, Takatsuki 569-8686.
Masui. 2008 Aug;57(8):973-7.
We report 3 cases of acute pulmonary thromboembolism (PTE) diagnosed by transesophageal echocardiography (TEE). In all these cases, cardiovascular state of the patient was unstable and therefore computerized tomography and catheterization of the pulmonary artery for diagnosis of PTE could not be performed. TEE was useful for diagnosis of acute PTE. All three patients passed away eventually and we had a difficult experience for treatment of acute PTE. We should take various measures against deep vein thrombosis for prevention of acute PTE.
我们报告了3例经食管超声心动图(TEE)诊断的急性肺血栓栓塞症(PTE)。在所有这些病例中,患者的心血管状态不稳定,因此无法进行计算机断层扫描和肺动脉导管插入术来诊断PTE。TEE对急性PTE的诊断很有用。所有三名患者最终均死亡,并且我们在治疗急性PTE方面经历了困难。我们应该采取各种措施预防深静脉血栓形成,以预防急性PTE。