Dudaryk Roman, Benitez Lopez Julio, Louro Jack
Department of Anesthesiology, Perioperative Medicine, and Pain Management, University of Miami Miller School of Medicine, Miami, FL, USA.
Case Rep Anesthesiol. 2018 Mar 4;2018:8709026. doi: 10.1155/2018/8709026. eCollection 2018.
Perioperative pulmonary embolism can go undetected until the sudden onset of cardiopulmonary collapse. Point of care echocardiography in such setting can narrow the differential diagnosis of precipitous instability and facilitate tailored, rather than empiric, therapy in the event of a massive pulmonary embolism. We describe the diagnosis and successful multidisciplinary management of intraoperative massive pulmonary embolism aided by both transthoracic and transesophageal echocardiography. Key aspects regarding the classification and treatment of pulmonary embolism are subsequently reviewed.
围手术期肺栓塞可能在心肺功能突然衰竭之前都未被发现。在此种情况下，床旁超声心动图可缩小急性失稳的鉴别诊断范围，并在发生大面积肺栓塞时有助于实施针对性而非经验性治疗。我们描述了在经胸和经食管超声心动图辅助下术中大面积肺栓塞的诊断及成功的多学科管理。随后对肺栓塞的分类和治疗的关键方面进行了综述。
