消化器外科手術後に発症した急性肺動脈塞栓症の3症例

  • 山内 聡
    いわき市立総合磐城共立病院救命救急センター
  • 新井 正徳
    いわき市立総合磐城共立病院救命救急センター
  • 小山 敦
    いわき市立総合磐城共立病院救命救急センター
  • 東 和明
    いわき市立総合磐城共立病院救命救急センター
  • 牧 真彦
    いわき市立総合磐城共立病院救命救急センター
  • 新谷 史明
    いわき市立総合磐城共立病院救命救急センター外科

書誌事項

タイトル別名
  • Report of Three Cases of Acute Pulmonary Embolism after Gastrointestinal Surgery

この論文をさがす

抄録

The incidence of acute pulmonary embolism (APE) has been increasing in Japan. We report 3 cases of APE after gastrointestinal surgery from January 1999 to December 2002. The latest was treated with compression stockings and intermittent pneumatic compression to prevent APE. One patient suffering from massive brain infarction died of a cerebral hernia. We saved 2 patients, one treated with catheter intervention under percutaneous cardiopulmonary support (PCPS) and another treated with anticoagulation after the insertion of an inferior vena cava filter. Gastrointestinal surgery patients have many clinical risk factors, such as prolonged immobility, cancer, surgery involving the pelvis, and pneumoperitoneum caused by laparoscopic surgery. The diagnosis of pulmonary embolism remains difficult, because its symptoms and clinical findings are not necessarily specific. We must therefore consider APE as a critical complication after gastrointestinal surgery. It is important to introduce PCPS immediately in the seriously ill, and to simultaneously maintain the patients breathing and circulation.

収録刊行物

参考文献 (13)*注記

もっと見る

詳細情報 詳細情報について

問題の指摘

ページトップへ