Connor-Schuler Randi, Hrabec Daniel, Corrales Julio Pinto
Henry Ford Hospital Department of Emergency Medicine, USA.
Henry Ford Hospital Department of Emergency Medicine/Internal Medicine, USA.
Respir Med Case Rep. 2018 May 18;24:163-164. doi: 10.1016/j.rmcr.2018.05.021. eCollection 2018.
Pulmonary emboli (PE) are commonly encountered events with presentations ranging from benign incidental findings to obstructive shock. We present a case of a 20 year old male with nephrotic syndrome who suffered complete cardiovascular collapse with cardiac arrest in the setting of a massive PE, requiring open surgical embolectomy and ECMO support. We reviewed the literature on massive PE's focusing on the use of ECMO and success of the rarely performed open embolectomy for the treatment of obstructive shock from a massive PE.
肺栓塞（PE）是常见的病症，其表现范围从良性偶然发现到梗阻性休克。我们报告一例20岁患有肾病综合征的男性病例，该患者在发生大面积肺栓塞时出现完全性心血管衰竭和心脏骤停，需要进行开放性手术取栓和体外膜肺氧合（ECMO）支持。我们回顾了关于大面积肺栓塞的文献，重点关注ECMO的使用以及很少进行的开放性取栓术治疗大面积肺栓塞所致梗阻性休克的成功率。
