• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Gynecologic Oncology Reports >Saddle pulmonary embolus resulting in cardiovascular collapse requiring extracorporeal membrane oxygenation in a postoperative patient with endometrial cancer
【24h】

Saddle pulmonary embolus resulting in cardiovascular collapse requiring extracorporeal membrane oxygenation in a postoperative patient with endometrial cancer

机译：子宫内膜癌术后患者的鞍状肺栓塞导致心血管衰竭，需要体外膜氧合

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background Venous thromboembolism after open gynecologic surgery is not uncommon, especially in the presence of other risk factors such as obesity, prolonged surgical time or gynecologic malignancy. Case We present the case of a 62?y.o. patient who underwent open hysterectomy and surgical staging for uterine serous carcinoma. She was readmitted with lower extremity edema. During her workup, she underwent cardiovascular arrest secondary to saddle pulmonary embolus requiring cardiopulmonary resuscitation and extracorporeal membrane oxygenation. After systemic and catheter directed thrombolysis, and a long hospitalization, she was discharged home in stable condition. Conclusion Saddle pulmonary embolus is a potentially catastrophic and fatal postoperative complication. This case demonstrates a successful implementation of directed thrombolysis, veno-arterial extracorporeal membrane oxygenation and multidisciplinary management in a case of postoperative saddle pulmonary embolus. Précis We report a case of an endometrial cancer patient who sustained a massive postoperative pulmonary embolus and was successfully resuscitated using extracorporeal membrane oxygenation. Highlights ? Extracorporeal membrane oxygenation can help stabilize patients with massive embolus. ? Catheter directed alteplase may reduce risk of bleeding compared to systemic therapy. ? A multidisciplinary approach to massive saddle embolus may improve patient outcomes.
机译：背景技术开放式妇科手术后静脉血栓栓塞的情况并不少见，特别是在存在其他风险因素（例如肥胖症，手术时间延长或妇科恶性肿瘤）的情况下。案例我们介绍一个62？y.o的案例。子宫浆液性癌行开腹子宫切除术及手术分期的患者。她因下肢浮肿而重新入院。在检查过程中，她经历了因鞍状肺栓塞继发的心血管骤停，需要进行心肺复苏和体外膜氧合。经过全身和导管定向溶栓治疗后，经过长期住院治疗，她出院后病情稳定。结论鞍状肺栓塞是潜在的灾难性和致命的术后并发症。该病例表明，在术后鞍状肺栓塞的情况下，成功实施了定向溶栓治疗，静脉-动脉体外膜氧合作用和多学科管理。前瞻性我们报告了一例子宫内膜癌患者，该患者持续大量的术后肺栓塞，并使用体外膜氧合成功复苏。强调 ？体外膜氧合可以帮助稳定大量栓塞患者。 ？与全身疗法相比，导管定向阿替普酶可降低出血风险。 ？大量鞍栓塞的多学科方法可改善患者预后。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号