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围手术期急性肺栓塞:以多学科方法为重点的简要综述

Perioperative Acute Pulmonary Embolism: A Concise Review with Emphasis on Multidisciplinary Approach.

作者信息

Porres-Aguilar Mateo, Rivera-Lebron Belinda N, Anaya-Ayala Javier E, León María Cristina Guerrero de, Mukherjee Debabrata

机构信息

Division of Adult Thrombosis Medicine, McGill University/Centre of Excellence of Thrombosis and Anticoagulation Care (CETAC), Jewish General Hospital, Montreal, Quebec, Canada.

Division of Pulmonary and Critical Care Medicine, University of Pittsburgh Medical Center (UPMC), Pittsburgh, Pennsylvania.

出版信息

Int J Angiol. 2020 Sep;29(3):183-188. doi: 10.1055/s-0040-1709501. Epub 2020 May 14.

Abstract

Perioperative acute pulmonary embolism represents a relatively rare complication; however, it could be very serious and devastating in some cases. Its diagnosis could be particularly challenging, especially in the intraoperative period. Herein, we emphasize some key concepts with the aim to perform an early and appropriate risk stratification, diagnostic and therapeutic approach in a multidisciplinary fashion, a brief overview on thromboprophylaxis, with the main objective to improve outcomes and survival in these challenging patients.

摘要

围手术期急性肺栓塞是一种相对罕见的并发症;然而,在某些情况下它可能非常严重且具有毁灭性。其诊断可能极具挑战性,尤其是在手术过程中。在此,我们强调一些关键概念,旨在以多学科方式进行早期且恰当的风险分层、诊断及治疗,简要概述血栓预防措施,主要目标是改善这些具有挑战性患者的治疗效果和生存率。

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