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肺血栓栓塞导致的心原性休克：外科血栓切除术的作用。

Cardiogenic shock due to pulmonary thromboembolism: the role of surgical thrombectomy.

机构信息

Department of Cardiology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City.

Department of Cardiology, Hospital Beneficiencia Española de Puebla.

出版信息

Arch Cardiol Mex. 2023;93(1):26-29. doi: 10.24875/ACM.21000093.

DOI:10.24875/ACM.21000093
PMID:36757786
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10161827/
Abstract

A 53-year-old male patient with history of repaired hernia, who is admitted for 5 days of progressive dyspnea with diagnosis of abdominal sepsis, a computed tomography angiography was made, revealing pulmonary embolism in bilateral main pulmonary artery, and cardiac thrombectomy was performed.

摘要

一位 53 岁男性患者，有疝修补病史，因诊断为腹部脓毒症而入院 5 天，出现进行性呼吸困难。进行了计算机断层血管造影术，显示双侧肺动脉主干肺栓塞，并进行了心脏血栓切除术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e845/10161827/f29800cd725d/7567AX221-ACM-93-26-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e845/10161827/68683bcddabd/7567AX221-ACM-93-26-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e845/10161827/1d3c5028028a/7567AX221-ACM-93-26-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e845/10161827/4cb950f10b44/7567AX221-ACM-93-26-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e845/10161827/f29800cd725d/7567AX221-ACM-93-26-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e845/10161827/68683bcddabd/7567AX221-ACM-93-26-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e845/10161827/1d3c5028028a/7567AX221-ACM-93-26-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e845/10161827/4cb950f10b44/7567AX221-ACM-93-26-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e845/10161827/f29800cd725d/7567AX221-ACM-93-26-g004.jpg

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本文引用的文献

1
Aggressive surgical treatment of acute pulmonary embolism with circulatory collapse.急性肺栓塞伴循环衰竭的积极外科治疗。
Ann Thorac Surg. 2012 Sep;94(3):785-91. doi: 10.1016/j.athoracsur.2012.03.101. Epub 2012 Jun 13.
2
Improved midterm outcomes for type A (central) pulmonary emboli treated surgically.手术治疗 A 型（中央型）肺栓塞的中期结果改善。
J Thorac Cardiovasc Surg. 2011 Dec;142(6):1423-9. doi: 10.1016/j.jtcvs.2010.12.030. Epub 2011 Apr 9.
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Treatment of right heart thromboemboli.右心血栓栓塞的治疗。
Chest. 2002 Mar;121(3):806-14. doi: 10.1378/chest.121.3.806.
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Deep vein thrombosis and its prevention in critically ill adults.危重症成年患者的深静脉血栓形成及其预防
Arch Intern Med. 2001 May 28;161(10):1268-79. doi: 10.1001/archinte.161.10.1268.
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Circulation. 1999 Jun 1;99(21):2779-83. doi: 10.1161/01.cir.99.21.2779.
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The incidence of deep venous thrombosis in ICU patients.重症监护病房患者深静脉血栓形成的发生率。
Chest. 1997 Mar;111(3):661-4. doi: 10.1378/chest.111.3.661.
7
Atrial septal aneurysm: recognition and clinical relevance.房间隔瘤：识别与临床意义。
Am Heart J. 1990 Oct;120(4):948-57. doi: 10.1016/0002-8703(90)90214-i.