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糖尿病酮症酸中毒合并大面积肺血栓栓塞症的管理

Management of massive pulmonary thromboembolism complicating diabetic ketoacidosis.

作者信息

Quigley R L, Curran R D, Stagl R D, Alexander J C

机构信息

Department of Surgery, Northwestern University-Evanston Hospital, Illinois 60201.

出版信息

Ann Thorac Surg. 1994 May;57(5):1322-4. doi: 10.1016/0003-4975(94)91385-4.

DOI:10.1016/0003-4975(94)91385-4
PMID:8179409
Abstract

Intravascular volume depletion secondary to diabetic ketoacidosis may result in thrombosis of major blood vessels. Without anticoagulation these thrombi can embolize to the lungs and compromise cardiopulmonary function. When this occurs early surgical pulmonary embolectomy is indicated to salvage a failing right heart.

摘要

糖尿病酮症酸中毒继发的血管内容量耗竭可能导致主要血管血栓形成。若不进行抗凝治疗,这些血栓可栓塞至肺部并损害心肺功能。当这种情况早期发生时,需行手术肺动脉血栓切除术以挽救功能衰竭的右心。

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