Spence T H, Newton W D
Department of Pulmonary Medicine, USAF Medical Center Keesler, Miss.
South Med J. 1989 Oct;82(10):1267-8.
We have described a 57-year-old man who had had lower extremity vascular surgery complicated by PE. Dyspnea, hypotension, hypoxemia, and CHF developed, but thrombolytic therapy was not started because of the recent surgical procedure; instead, he had plication of the inferior vena cava. Because of persistent pulmonary artery hypertension and decreasing cardiac indices, amrinone therapy was begun, and resulted in marked hemodynamic improvement.
我们描述了一名57岁男性，他接受了下肢血管手术后并发肺栓塞。出现了呼吸困难、低血压、低氧血症和充血性心力衰竭，但由于近期的手术操作未开始溶栓治疗；相反，他接受了下腔静脉折叠术。由于持续的肺动脉高压和心脏指数下降，开始使用氨力农治疗，并导致明显的血流动力学改善。
