摘要
目的研究胸腹腔镜术后下肢深静脉血栓形成及肺动脉栓塞的发生原因及防治方法。方法回顾总结2001年3月￣2003年6月收治的胸腹腔镜术后8例,胸腔镜术后4例下肢深静脉血栓形成及其中2例肺动脉栓塞的病人资料。结果12例病人诊为深静脉血栓形成后均予卧床休息,抬高患肢,使用肝素、尿激酶抗凝、溶栓。2例肺栓塞行2h溶栓,1例发生肺栓塞后出现心跳、呼吸骤停,予心肺复苏、溶栓抢救成功。全组病例均痊愈出院。结论胸腹腔镜术后下肢深静脉血栓形成有一定的发病率,要尽早抗凝、溶栓治疗,其中部分病人可能发生大面积肺动脉栓塞,要及时予以大剂量尿激酶溶栓,才能挽救病人生命。高危病人术前可植入腔静脉滤器防治致死性肺动脉栓塞。
To study the enology and prevention of deep venous thrombosis (DVT) and pulmonary embolism (PE) after laparoscopy and video assisted thoracic surgery (VATS). The date of 8 cases following laparoscopy and 4 cases after VATS developed DVT from March 2001 to june 2003 were analyzed. All 12 cases with diagnosed DVT received treatments consisting of bed rest, elevation of the leg, heparin injections, and urokinase, 2/12 cases developed PE. One of the two patients with PE received emergency CPR treatment due to severe conditions. The treatment were successful in reducing swelling due to DVT in all 12 cases. [Conclusions] The incident of DVT and PE after laparoscopy and VATS is more prevalent than prior literature suggests. Our findings indicated that treatment in the early stages of DVT is more beneficial to the patient. Large amounts of urokinase (1×106u.) should be administered to patients with confumed PE. In addition, a vena filter may be used in DVT patients to prevent the development of a massive PE.
出处
《中国内镜杂志》
CSCD
北大核心
2005年第1期77-79,共3页
China Journal of Endoscopy
关键词
腹腔镜
胸腹腔
深静脉血栓
肺动脉栓塞
腔静脉滤器
laparoscopy
video assited thoracic surgery (VATS)
deep venous thrombosis (DVT)
pulmonary embolism (PE)
vena filter
