Hasegawa M, Fujisawa H, Ogiu K, Seino K, Kawamura S, Fujioka T, Kubo T, Hirose A
Department of Urology, Iwate Medical University School of Medicine.
Hinyokika Kiyo. 1995 May;41(5):373-7.
A 54-year-old man was hospitalized for a right renal tumor with intraluminal extension into the vena cava. He underwent radical nephrectomy with thrombectomy and regional lymphadenectomy. On the 8th postoperative day, he suddenly complained of dyspnea with tachypnea and cyanosis. Arterial blood gas analyses under an oxygen flow of 4L/min revealed PaO2 32.1 mmHg. Pulmonary angiography revealed filling defects in the right main pulmonary artery and left descending branch. Under the diagnosis of acute pulmonary embolism, thrombolytic and anti-coagulation therapy was performed and the patient recovered from the disease. We should be aware of pulmonary embolism as a postoperative complication of urological surgery.
一名54岁男性因右肾肿瘤伴瘤腔内延伸至腔静脉而住院。他接受了根治性肾切除术、血栓切除术和区域淋巴结清扫术。术后第8天，他突然出现呼吸困难、呼吸急促和发绀。在4L/min氧流量下进行的动脉血气分析显示动脉血氧分压（PaO2）为32.1mmHg。肺血管造影显示右主肺动脉和左降支有充盈缺损。在诊断为急性肺栓塞后，进行了溶栓和抗凝治疗，患者康复。我们应意识到肺栓塞是泌尿外科手术的术后并发症。
