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导管相关性肺动脉出血。心脏手术中的诊断与处理

Catheter-induced pulmonary artery hemorrhage. Diagnosis and management in cardiac operations.

作者信息

McDaniel D D, Stone J G, Faltas A N, Khambatta H J, Thys D M, Antunes A M, Bregman D

出版信息

J Thorac Cardiovasc Surg. 1981 Jul;82(1):1-4.

PMID:7242116
Abstract

Three case reports describing catheter-induced pulmonary artery hemorrhage in patients having cardiac operations are presented--a 0.2% incidence of this complication. One patient exsanguinated and died, another survived after undergoing an emergency lobectomy, and the third escaped without surgical intervention. As a result of this experience and the recommendations in the literature, we have developed and describe herein a rational therapy for this highly lethal complication.

摘要

本文报告了3例心脏手术患者导管诱发肺动脉出血的病例——该并发症的发生率为0.2%。1例患者因出血过多死亡,另1例在接受急诊肺叶切除术后存活,第3例未经手术干预而康复。基于这一经验以及文献中的建议,我们制定并在此描述了针对这种高致死性并发症的合理治疗方法。

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