Surgical treatment of chronic pulmonary thromboembolism / 中华外科杂志
Chinese Journal of Surgery
;
(12): 345-347, 2005.
Artigo
em Chinês
| 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:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Artéria Pulmonar
/
Embolia Pulmonar
/
Cirurgia Geral
/
Doença Crônica
/
Estudos Retrospectivos
/
Resultado do Tratamento
/
Endarterectomia
/
Métodos
Tipo de estudo:
Estudo observacional
Limite:
Adulto
/
Idoso
/
Feminino
/
Humanos
/
Masculino
Idioma:
Chinês
Revista:
Chinese Journal of Surgery
Ano de publicação:
2005
Tipo de documento:
Artigo
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