Primo G, Le Clerc J L, Deuvaert F E
Acta Chir Belg. 1986 Mar-Apr;86(2):126-8.
Massive pulmonary embolism (more than 50% of the pulmonic arterial bed obstructed) has a high mortality. If the accident is not immediately fatal and if the patient is in an adequate hospital environment, the diagnosis has to be confirmed by pulmonary scan and arteriography. Immediate institution of an intensive medical support against shock combined with the induction of thrombolysis prove effective in a majority of cases. The few patients who do not favorably respond to this medical therapy must without delay undergo embolectomy under extracorporeal circulation. The risk is mainly dependent on the hemodynamic state of the patient at the moment of operation. However conditions related to time and place for optimal surgery may restrict the number of favourable results.
大面积肺栓塞（超过50%的肺动脉床受阻）死亡率很高。如果该病症并非立即致命，且患者处于合适的医院环境中，必须通过肺部扫描和动脉造影来确诊。立即采取针对休克的强化医疗支持并结合溶栓治疗，在大多数情况下证明是有效的。少数对这种药物治疗反应不佳的患者必须立即在体外循环下进行栓子切除术。风险主要取决于手术时患者的血流动力学状态。然而，与最佳手术的时间和地点相关的条件可能会限制良好结果的数量。
