CAJ | 학술논문

目的总结近年来国内关于泌尿外科术后并发肺栓塞的文献,分析泌尿外科术后肺栓塞的发生情况及临床特点,为积极防治泌尿外科术后肺栓塞提供参考.方法应用计算机检索中国期刊网全文数据库2005-2011年收载的期刊文献报告病例10例,并结合我院诊治的3例患者临床资料,对泌尿外科术后并发肺栓塞进行临床分析.结果泌尿外科术后并发肺栓塞的文献报道及本资料诊治共13例,其中患者男10例,女3例;年龄48～79岁,平均61岁;开放手术2例,微创手术11例;术后发生肺栓塞时间2～18d,平均为5.38d;死亡7例,病死率53.85％.结论本病发展快,病死率高,抢救成功率低,重在预防.合理开展泌尿外科手术的同时应加强围手术期监护与预防,早期诊断和规范治疗对肺栓塞预后有重要影响.
목적 총결근년래국내관우비뇨외과술후병발폐전새적문헌,분석비뇨외과술후폐전새적발생정황급림상특점,위적겁방치비뇨외과술후폐전새제공삼고.방법 응용계산궤검색중국기간망전문수거고2005-2011년수재적기간문헌보고병례10례,병결합아원진치적3례환자림상자료,대비뇨외과술후병발폐전새진행림상분석.결과 비뇨외과술후병발폐전새적문헌보도급본자료진치공13례,기중환자남10례,녀3례;년령48～79세,평균61세;개방수술2례,미창수술11례;술후발생폐전새시간2～18d,평균위5.38d;사망7례,병사솔53.85％.결론 본병발전쾌,병사솔고,창구성공솔저,중재예방.합리개전비뇨외과수술적동시응가강위수술기감호여예방,조기진단화규범치료대폐전새예후유중요영향.
Objective To analyze the clinical features of pulmonary embolism(PE) after urologic surgery in order to provide the theory base for preventing pulmonary embolism Methods CNKI database was used to look for our subjects who were with PE after urologic surgery from January 2005 to December 2011.Ten cases were selected.Three related patients simultaneously in Xuancheng Central Hospital were also recruited as our subjects.The information of diagnosis and treatment information and clinical features were collected.Results Among the 13 patients,3 were women and 10 were men with confirmed PE.Their age ranged from 48 to 79 years old and the average was 61.Among the 13 patients,2 conducted routine surgery,and the other 11 conducted mini-invasion operation.The 13 patients underwent PE from 2 to 18 days after urologic surgery and 7 patients (53.85％) died of PE.Conclusion No specificity of clinical feature for PE was found to contribute to cure rate.Early diagnosis and prevention of PE are important,and anticoagulant treatment and immediate thrombolytic are critical.