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小儿术中急性肺栓塞抢救成功1例

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患儿,女,14岁,因"卵巢扭转并坏死"急诊行腹腔镜探查术中出现急性肺栓塞,行紧急溶栓治疗,并维持循环稳定.患儿生命体征平稳状态下转入小儿重症医学科,经积极抗感染、抗凝治疗,患儿顺利脱机,安全出院,随访恢复良好.小儿麻醉状态下发生急性肺栓塞异常凶险,诊断和抢救难度更大,因此麻醉医师必须做好充分的术前访视,严密观察术中各项监测指标的变化,提高对急性肺栓塞的认知和诊疗水平.
Successful rescue of acute pulmonary embolism during pediatric surgery:one case report
A 14-year-old female patient underwent exploratory laparotomy due to ovarian torsion with necrosis.But she pre-sented acute pulmonary embolism and subjected to emergency thrombolytic therapy followed by maintenance of stable circulation.With stable vital signs,she was transferred to the pediatric intensive care unit,where anti-infection and anticoagulant therapies were provid-ed.After successful ventilator withdrawal,the patient was discharged,with good recovery during follow-up visit.It is extremely difficult to diagnose and treat acute pulmonary embolism under anesthesia.Therefore,in addition to preoperative visit,anesthesiologists should closely observe the changes of various detection indicators during the operation,and improve the cognition,diagnosis and treatment of acute pulmonary embolism.

Acute pulmonary embolismPediatric

高婷婷、杨振东

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山东大学附属儿童医院麻醉科,济南 250022

急性肺栓塞 小儿

2024

国际麻醉学与复苏杂志
中华医学会,徐州医学院

国际麻醉学与复苏杂志

CSTPCD
影响因子:0.909
ISSN:1673-4378
年,卷(期):2024.45(3)
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