Study on diagnosis and treatment of postoperative complicating acute pulmonary embolism in ICU / 重庆医学

ABSTRACT

Objective To investigate the diagnosis and treatment method of complicating acute pulmonary embolism(APE) after surgery in ICU.Methods Ten patients with complicating APE after surgery in ICU of this hospital from July 2014 to November 2016 were selected.Their clinical characteristics,age,basic diseases,clinical diagnosis and treatment process were retrospectively analyzed.Results Ten cases occurred on mean postoperative(2.4 ± 1.1) d,which manifested by different degrees of respiratory failure,circulatory failure,renal function failure,chest pain,hemoptysis and cough.10％ and 40％ respectively.Five cases(50％) used rt-PA thrombolysis,2 cases(20 ％) were treated with low molecular weight heparin anticoagulation and 3 cases (30 ％) were treated with heparin anticoagulation,One case(10 ％) died after treatment,1 case(10 ％) was discharged from hospital and 8 cases (80％)were improved and discharge from ICU.Conclusion Postoperative complicating pulmonary embolism has high probability.The postoperative complicating pulmonary embolism risk should be evaluated for prevention as early as possible.If APE occurs,adopting thrombolysis or anticoagulation therapy has good effect.