摘要
目的 探讨头颈部手术后并发肺栓塞的诊断及治疗意识。方法 回顾性分析山西医科大学第一临床医学院耳鼻咽喉科1999年— 2 0 0 2年头颈部肿瘤术后 3例严重急性肺栓塞病人的临床资料。结果 同期行头颈肿瘤手术 2 12 7例 ,术后死亡病例 7例 ,发生严重急性肺栓塞 3例 ,其中 2例误诊 ,未能及时正确就治 ,2h内死亡 ,占同期手术死亡病例的 2 8.5 %(2 /7)。 1例经溶栓治疗存活。结论 急性肺栓塞是头颈部手术后致死的严重并发症 ,正确的诊断与及时的抢救可挽救病人的生命。
Objective To improve the early diagnosis of pulmonary embolism originated by head and neck surgery.Methods A retrospective analysis was done to 3 cases of postoperative pulmonary embolism in the department of otolaryngology of head and neck surgery from 1999 to 2002.Results 2 patients died suddenly because of the incorrect diagnosis and treatment. 1 patients was alive for the correct diagnosis and thrombolytic treatment.Conclusion Postoperative pulmonary embolism is a major cause of mortality patients undergoing head and neck surgical procedure.Mortality of pulmonary embolism could be reduced by early and correct diagonosis and treatment.
出处
《中西医结合心脑血管病杂志》
2004年第8期450-451,共2页
Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease
关键词
肺栓塞
头颈部手术
并发症
pulmonary embolism
head and neck surgery
postoperative complications
