头颈肿瘤术后并发急性肺栓塞2例

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收稿日期: 2014-07-30

Two cases of acute pulmonary embolism in head and neck tumor surgery

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Received Date: 30 July 2014

- 肺栓塞 /
- 头颈肿瘤手术
Abstract: A male patient with hypopharyngeal cancer accepted operation under general anesthesia.Sixth day after surgery in patient with sudden chest pain and obvious difficulty in breathing.Blood oxygen saturation of90%.The electrocardiogram showed:ST-T change,Tv6flat;blood gas analysis:pH 7.491,PCO234.1mmHg,PO254.7mmHg;D-Dimer 3.87mg/L;white blood cell 17.50×109/L.CTPA showed:right pulmonary artery embolism,pulmonary infection.Another male patient with the right tonsil cancer accepted operation under general anesthesia.Fourth day of patient suddenly appear bosom frowsty and obvious difficulty in breathing.Blood oxygen saturation of 88%.Blood gas analysis:pH:7.48,PCO2:33mmHg,,PO2:57mmHg;D-Dimer:2.97mg/L;white blood cell:11.80×109/L.CTPA showed:the main pulmonary artery and right pulmonary artery branch embolism,pulmonary inflammation.Both were diagnosised as acute pulmonary embolism and recovered well after giving anticoagulant therapy in time.
- pulmonary embolism /
- surgery of head and neck tumor

[1]	陆再英,钟南山.内科学[M].7版.北京:人民卫生出版,2008:79-79.
[2]	孙丽红.急性肺栓塞的心电图特点及变化规律分析[J].中国民康医学,2014,26(3):53-54.
[3]	王榕生.血浆D-二聚体水平与血气分析检测在肺栓塞患者中的应用[J].中国当代医药,2014,21(5):28-29,32.
[4]	施旖旎,金小岩,罗克勤.急性肺血栓栓塞血清酶学及肌钙蛋白Ⅰ的变化研究[J].中国当代医药,2014,21(1):131-133.
[5]	刘绍严,唐平章.头颈肿瘤术后并发肺栓塞[J].中华耳鼻咽喉科杂志,2002,37(4):304-306.
[6]	陈志俊,华辉,黄沂传,等.低分子肝素预防头颈肿瘤术后并发肺栓塞疗效观察[J].中国耳鼻咽喉颅底外科杂志,2009,15(4):261-263.
[7]	PITTO R P,YOUNG S.Foot pumps without graduated compression stockings for prevention of deep vein thrombosis in total joint replacement efficacy safety and patient compliance. A comparative,prospective clinical trial[J].Int Orthop,2008,32:331-336.