手术后肺栓塞的急诊介入治疗

Emergent pulmonary arteriography and interventional therapy for postoperative patients with acute pulmonary embolism

目的探讨术后肺栓塞发生的原因及介入性诊断、治疗的可行性。方法对6例术后发生急性肺栓塞患者采取急诊肺动脉造影及导管、导丝碎栓术等方法进行治疗。结果6例患者经急诊肺动脉造影证实其肺动脉内均有不同程度的血栓栓塞，经导管、导丝碎栓术治疗后5例患者痊愈，1例死亡。结论通过急诊肺动脉造影和直接导管介入治疗的方法，可使术后肺栓塞患者的血流动力学迅速得到改善，提高患者临床的生存率。

Objective To discuss the causes of postoperative acute pulmonary embolism and the possible intervenient therapy. Methods Six postoperative patients received emergent pulmonary arteriography and interventional therapy, Results After emergent pulmonary arteriography and interventional therapy, 5 cases were cured, 1 case was dead. Conclusion Emergent pulmonary artefiography and interventional therapy could facilitate hemodynamic stability in patients with postoperative acute pulmonary embolism and improve survival rate,