Department of Cardiothoracic Surgery, the First Affiliated Hospital of Guangzhou Medical College; Guangzhou Institute of Respiratory Disease, State Key Laboratory of Respiratory Disease, Guangzhou, China.
J Thorac Dis. 2012 Feb;4(1):76-82. doi: 10.3978/j.issn.2072-1439.2011.10.02.
Pulmonary embolism (PE) by occlusion of the pulmonary arterial bed may lead to acute life-threatening but potentially reversible right ventricular failure, one of the most severe complications of thoracic surgery. Still, the incidence of acute pulmonary embolism after surgery is reduced by comprehensive anticoagulant prevention, improved surgical techniques, appropriate perioperative management and early ambulation. However, there is difficulty in diagnosing PE after thoracic surgery due to the lack of specific clinical manifestations. So that optimal diagnostic strategy and management according to the clinical presentation and estimated risk of an adverse outcome is fundamental.
肺栓塞（PE）可导致肺动脉床阻塞，从而引发急性危及生命但具有潜在可逆性的右心衰竭，这是胸部手术最严重的并发症之一。尽管如此，通过全面抗凝预防、改进手术技术、适当的围手术期管理和早期活动，可降低术后急性肺栓塞的发生率。然而，由于缺乏特定的临床表现，胸部手术后的 PE 诊断存在困难。因此，根据临床表现和不良结局的估计风险制定最佳诊断策略和管理至关重要。
