Landesberg G, Shimon D, Shir Y, Rivkind A, Forman A, Barlatzki J, Borman J B
Dept. of Anesthesiology, Hadassah-University Hospital, Jerusalem.
Harefuah. 1990 Nov 15;119(10):309-10.
Acute, massive pulmonary embolism is life-threatening and must be treated immediately. Since the early 1970's when thrombolytic therapy was shown to hasten resolution of pulmonary emboli, there has been a debate in the literature as to new indications for surgical pulmonary embolectomy. Some authors believed that there are no longer any indications for embolectomy, while others justify surgery for certain indications. Although the debate is still on, this operation is very rarely performed today. We present a patient who developed massive pulmonary embolism, with continuing extreme hemodynamic and respiratory disturbances despite full thrombolytic treatment. Embolectomy was successfully performed.
急性大面积肺栓塞危及生命，必须立即治疗。自20世纪70年代初溶栓治疗被证明可加速肺栓塞溶解以来，关于外科肺动脉栓子切除术的新适应证，文献中一直存在争议。一些作者认为栓子切除术已不再有任何适应证，而另一些作者则认为某些适应证可行手术治疗。尽管争议仍在继续，但如今这种手术很少进行。我们报告一位发生大面积肺栓塞的患者，尽管接受了充分的溶栓治疗，但仍持续存在严重的血流动力学和呼吸紊乱。栓子切除术成功实施。
