Molitor M, Měšťák O, Popelka P, Vítová L, Hromádková V, Měšťák J
Acta Chir Plast. 2016 Fall;58(1):35-38.
Pulmonary embolism is a potentially lethal complication in plastic surgery patients. About 34% of the members of American Society of Plastic Surgery have diagnosed pulmonary embolism in their patients, and 7% had experienced at least 1 death due to this complication. The American Society of Plastic Surgeons Executive Committee approved the Venous Thromboembolism Task Force Report. The members agreed that there was not enough evidence to make all-inclusive recommendations for plastic surgery deep vein thrombosis and pulmonary embolism prophylaxis, but released the 2005 Caprini Scale accompanied by the Task Force recommendations for use in plastic surgery. It is generally strongly advised to use appropriate prophylactic measures against venous thromboembolism in all surgical procedures. However, even then we cannot completely avoid this serious complication.
肺栓塞是整形外科患者中一种潜在的致命并发症。美国整形外科协会约34%的成员曾诊断出其患者患有肺栓塞,7%的成员曾经历至少1例因该并发症导致的死亡。美国整形外科医师执行委员会批准了静脉血栓栓塞特别工作组报告。成员们一致认为,没有足够的证据对整形外科深静脉血栓形成和肺栓塞预防提出全面建议,但发布了2005年卡普里尼量表以及特别工作组在整形外科中使用的建议。一般强烈建议在所有外科手术中采取适当的静脉血栓栓塞预防措施。然而,即便如此,我们仍无法完全避免这种严重并发症。