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为一名出现晕厥并随后心脏骤停的儿童进行挽救性肺血栓切除术以治疗大面积肺栓塞。

Salvage pulmonary thromboembolectomy for massive pulmonary embolism in a child presented with syncope and subsequent cardiac arrest.

作者信息

Ak Koray, Birkan Yasar, Akalın Figen, Günay Deniz

机构信息

Departments of Cardiovascular Surgery, Marmara University Faculty of Medicine, Istanbul, Turkey.

Marmara University Faculty of Medicine, Department of Pediatrics, Division of Pediatric Cardiology, Istanbul, Turkey.

出版信息

Cardiol Young. 2019 Aug;29(8):1094-1096. doi: 10.1017/S1047951119001410. Epub 2019 Jun 26.

DOI:10.1017/S1047951119001410
PMID:31241026
Abstract

Pulmonary embolism is frequently under-recognised in children and, therefore, a high index of suspicion should be exerted on patients with exertional dyspnoea, presyncope/syncope and unexplained cardiopulmonary arrest. We discuss a 10-year-old previously healthy girl who presented with syncope and subsequent cardiac arrest related to massive pulmonary embolism and was salvaged successfully by emergent pulmonary embolectomy.

摘要

肺栓塞在儿童中常常未得到充分认识，因此，对于出现劳力性呼吸困难、先兆晕厥/晕厥以及不明原因的心搏骤停的患者，应保持高度的怀疑指数。我们讨论一名10岁以前健康的女孩，她因大面积肺栓塞出现晕厥及随后的心搏骤停，并通过紧急肺动脉血栓切除术成功获救。

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