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首页> 外文期刊>Journal of cardiac surgery. >Critical role of inferior vena caval filter placement after pulmonary embolectomy.
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Critical role of inferior vena caval filter placement after pulmonary embolectomy.

机译：肺栓塞切除术后下腔静脉滤器放置的关键作用。

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摘要

Surgical pulmonary embolectomy is a definitive treatment for patients with severe pulmonary embolism (PE). Postoperative placement of an inferior vena caval filter (IVCF) may prevent recurrent PE. We present a patient who underwent pulmonary embolectomy in whom postoperative placement of an IVCF was postponed due to hemodynamic instability and severe hemorrhage. Recurrent PE was recognized 12 hours after the initial surgery, and required reoperative pulmonary embolectomy. This report documents that recurrent PE can occur early after pulmonary embolectomy even in the presence of coagulopathy. Therefore, concurrent IVCF placement should be considered during or immediately after pulmonary embolectomy to prevent recurrent pulmonary embolism.
机译：外科手术肺栓塞切除术是严重肺栓塞（PE）患者的明确治疗方法。术后放置下腔静脉滤器（IVCF）可以预防PE复发。我们介绍了一名接受肺栓塞切除术的患者，由于血液动力学不稳定和严重出血，IVCF的术后放置推迟了。初次手术后12小时即可识别出复发性PE，需要再次进行肺栓塞切除术。该报告证明，即使存在凝血病，肺栓塞切除术后早期也可能发生PE复发。因此，在肺栓子切除术期间或之后应考虑同时放置IVCF，以防止再次发生肺栓塞。

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