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患者患有肾病综合征和单肺,发生大面积肺栓塞。

Massive pulmonary embolism in a patient with nephrotic syndrome and single lung.

机构信息

Department of Cardiac, Thoracic and Vascular Surgery, National University Heart Centre Singapore, 5 Lower Kent Ridge Road, Singapore, 119074, Singapore.

Department of Cardiology, National University Heart Centre Singapore, Singapore, Singapore.

出版信息

J Thromb Thrombolysis. 2021 Aug;52(2):680-682. doi: 10.1007/s11239-020-02350-x. Epub 2021 Jan 2.

Abstract

We present a novel case of a patient with nephrotic syndrome and previous left pneumonectomy who had a massive pulmonary embolism of his remnant right pulmonary artery. He underwent surgical embolectomy and veno-arterial extracorporeal membrane oxygenation (ECMO). Early embolectomy using retrograde pulmonary perfusion and post-operative ECMO helped the patient survive this catastrophic event.

摘要

我们报告了一例新的肾病综合征和既往左全肺切除患者,其残留的右肺动脉发生巨大肺栓塞。该患者接受了外科取栓术和静脉-动脉体外膜肺氧合(ECMO)治疗。采用逆行肺动脉灌注的早期取栓术和术后 ECMO 治疗帮助患者在这场灾难性事件中存活下来。

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