Manji M, Isaac J L, Bion J
University of Birmingham Department of Anaesthesia and Intensive Care, Queen Elizabeth Hospital, Edgbaston.
Br J Anaesth. 1998 May;80(5):685-7. doi: 10.1093/bja/80.5.685.
We report a case of massive pulmonary embolism occurring at the time of graft reperfusion in a patient undergoing orthotopic liver transplantation. The clinical diagnosis of pulmonary embolus was aided by on-table echocardiography. Cardiopulmonary bypass and surgical embolectomy prevented her death. We discuss the differential diagnosis, possible aetiology of pulmonary embolism in this context and subsequent management.
我们报告了一例在原位肝移植患者移植再灌注时发生大面积肺栓塞的病例。术中超声心动图辅助了肺栓塞的临床诊断。体外循环和手术取栓术挽救了她的生命。我们讨论了鉴别诊断、这种情况下肺栓塞可能的病因及后续处理。
