[Pulmonary thromboembolism that developed 16 days after surgery for lung cancer].
[Pulmonary thromboembolism that developed 16 days after surgery for lung cancer].
复制标题
[肺癌手术后 16 天发生肺血栓栓塞]。
DOI：
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发表时间：
2013
影响因子：
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通讯作者：
T. Fukami
中科院分区：
文献类型：
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作者：
Takehiro Tsuchiya;A. Sano;T. Fukami
一位79岁男性因肺癌接受右上肺叶切除术及纵隔淋巴结清扫术。患者于术后第8天出院，无并发症。然而，术后第16天，他在家中出现呼吸困难，被救护车送往医院。通过对比增强计算机断层扫描检测肺血栓栓塞（PTE）。术后患者接受抗凝治疗及下腔静脉滤器置入术，但由于其临床表现多样，早期发现困难。因此，预防PTE被认为是更重要的。间歇性应用充气加压袜和预防性抗凝治疗可能有助于预防术后PTE。
An 79-year-old man underwent right upper lobectomy with mediastinal lymph node dissection for lung cancer. He was discharged without complications on postoperative day( POD) 8. However, on POD 16 he become dyspneic at home and was transported to a hospital by ambulance. Pulmonary thromboembolism (PTE) was detected by contrast-enhanced computed tomography. Anticoagulant therapy was initiated and inferior vena cava filter placement was performed.Due to its many possible clinical manifestations, early detection of postoperative PTE is difficult. Therefore prevention of PTE is thought to be more important. Intermittent application of pneumatic compression stockings and preventive anticoagulant therapy may help prevent PTE after surgery.