Surgical treatment of chronic pulmonary thromboembolism / 中华外科杂志
Chinese Journal of Surgery
;
(12): 345-347, 2005.
Artículo
en Chino
| WPRIM
| ID: wpr-264511
ABSTRACT
<p><b>OBJECTIVE</b>To evaluate the perioperative management and safety of pulmonary thromboendarterectomy for chronic pulmonary thromboembolism.</p><p><b>METHODS</b>From March 1999 to March 2004, 12 patients with chronic pulmonary thromboembolism received thromboendarterectomy. The operation was performed under cardio-pulmonary bypass with low flow or circulative arrest and deep hypothermia. The clinical data of the 12 cases were reviewed retrospectively.</p><p><b>RESULTS</b>Pulmonary pressure immediately decreased 20 to 40 mm Hg (1 mm Hg = 0.133 kPa) after operation in 6 cases. Various degrees of postoperative pulmonary edema happened in 8 cases. One patient died at the 19th day after operation due to severe lung infection and pulmonary re-embolism. Eleven patients were followed-up for 2 months to 5 years, the clinical symptom and routine daily activity were improved after surgery.</p><p><b>CONCLUSION</b>Pulmonary thromboendarterectomy is an effective treatment for chronic pulmonary thromboembolism. It is very important to management of postoperative reperfusion injury and pulmonary edema. A key point to enhance the safety of surgical treatment for chronic pulmonary thromboembolism is preoperative correct evaluation and indication selection.</p>
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Arteria Pulmonar
/
Embolia Pulmonar
/
Cirugía General
/
Enfermedad Crónica
/
Estudios Retrospectivos
/
Resultado del Tratamiento
/
Endarterectomía
/
Métodos
Tipo de estudio:
Estudio observacional
Límite:
Adulto
/
Anciano
/
Femenino
/
Humanos
/
Masculino
Idioma:
Chino
Revista:
Chinese Journal of Surgery
Año:
2005
Tipo del documento:
Artículo
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