【作者】 李启驹； 杨光； 成志刚； 陈荣铭； 吕光军； 徐俊；

【Author】 Li Qi-Ju Yang Guang Cheng Zhi-Gang Chen Rong-Ming Lu Guang-Jun Xu Jun Department of Surgery, Shanghai Huangpu Central Hospital, Shanghai 200002

【机构】 上海市黄浦区中心医院外科；

【摘要】 目的:通过改变围手术期治疗方案,降低或避免胸部肿瘤手术后肺栓塞并发症。方法:1．改变术中,术后输液径路。2．手术后放弃所有止,凝血药物的使用。3．手术后三天常规应用抗凝药物治疗。4．早期发现肺栓塞征象,大剂量抗凝剂和溶栓剂治疗。结果:实施围手术期肺栓塞预防方案前,术后肺栓塞发生率为0．37％,死亡率为0．26％,预防方案实施后,术后肺栓塞的发生率和死亡率均为0％。结论:围手术期设计的预防治疗方案能有效地降低和避免胸部肿瘤术后肺栓塞并发症。更多还原

【Abstract】 Objective: To prevent the patients with chest tumor from developing post-operative pulmonary embolism, a series of methods were done during and after operation. Methods: In our study, prevention scheme was carried out, including: changing the way of infusing during and after operation; after operation all coagulant were not used, anticoagulant were used routinely 3 days after operation, the clinical finding should be detected early and then anticoagulant and streptokinase can be administrated. Results: The incidence of pulmonary embolism was 037% and mortality was 0.26% before the prevention scheme was considered. When the scheme come into use no pulmonary embolism was detected. Conclusion: The prevention scheme, which was designed to be used during and after operation, can reduce and prevent the serious complication-- pulmonary embolism in patients with chest operation.更多还原