论文部分内容阅读
目的探讨喉癌、喉咽癌手术相关肺血栓栓塞症的临床特点及其诊断和预防。方法对11例喉癌、喉咽癌术后确诊为肺血栓栓塞症患者的临床表现、辅助检查、治疗方法等进行回顾性分析。结果同期行喉癌手术453例、喉咽癌手术134例,其中11例术后确诊并发肺血栓栓塞症,占1.9%;临床表现以憋气、胸闷为主,确诊方法包括螺旋CT肺动脉造影8例、核素肺通气/灌注显像确诊3例;主要采用抗凝治疗。结论喉癌、喉咽癌手术相关肺血栓栓塞症并不少见,应予高度警惕,手术前评估和围手术期预防十分重要。
Objective To investigate the clinical features, diagnosis and prevention of laryngeal carcinoma and laryngopharyngeal carcinoma associated with pulmonary thromboembolism. Methods The clinical manifestations, auxiliary examinations and treatment of 11 patients with laryngeal carcinoma and hypopharyngeal carcinoma diagnosed as pulmonary thromboembolism were retrospectively analyzed. Results 453 cases of laryngeal cancer and 134 cases of laryngopharyngeal carcinoma were performed during the same period. Among them, 11 cases were diagnosed as pulmonary thromboembolism after operation, accounting for 1.9%. Clinical manifestations were mainly breath holding and chest tightness. Diagnostic methods included spiral CT pulmonary angiography , Radionuclide pulmonary perfusion imaging diagnosis of 3 cases; the main use of anticoagulant therapy. CONCLUSION: It is not uncommon for surgery-related pulmonary thromboembolism in patients with laryngeal and hypopharyngeal carcinoma to be highly vigilant. Pre-operative assessment and perioperative prevention are very important.