Department of Anesthesiology and Pain Medicine, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea.
Korean J Anesthesiol. 2010 Jul;59(1):56-60. doi: 10.4097/kjae.2010.59.1.56. Epub 2010 Jul 21.
Massive pulmonary embolism is associated with significant perioperative morbidity and mortality. We report here on a case of a 69-year-old man who suffered a massive pulmonary embolism with pulseless electrical activity during knee arthroscopic surgery. After a diagnosis was made by performing transthoracic echocardiography, the patient was treated with recombinant tissue-type plasminogen activator. The patient was transferred to the intensive care unit after his hemodynamic status improved. The patient went on to make a full cardiopulmonary recovery without any complications.
大面积肺栓塞与围手术期高发病率和死亡率密切相关。我们在此报告一例 69 岁男性患者，在膝关节镜手术中发生大面积肺栓塞合并无脉性电活动。经胸超声心动图检查后确诊，患者接受重组组织型纤溶酶原激活剂治疗。患者血流动力学状态改善后转入重症监护病房。患者心、肺功能完全恢复，无任何并发症。
