{"meta":{"id":"https:\/\/api.iclient.ifeng.com\/ipadtestdoc?aid=ucms_81QRoiHPVeC","type":"doc","o":"1","documentId":"ucms_81QRoiHPVeC"},"body":{"newStatus":"1","documentId":"ucms_81QRoiHPVeC","staticId":"ucms_81QRoiHPVeC","title":"生死接力!盘锦辽油宝石花医院成功抢救一名肺癌术后肺动脉栓塞患者","shareTitle":"生死接力!盘锦辽油宝石花医院成功抢救一名肺癌术后肺动脉栓塞患者","thumbnail":"http:\/\/d.ifengimg.com\/w150_h106_q100\/x0.ifengimg.com\/ucms\/2020_47\/555E8FC2F07772EE0686F3F04A28CCADD62D6CE0_w750_h376.jpg","source":"凤凰网辽宁综合","author":"","editorcode":"董鑫","editTime":"2020-11-16 08:07:16","updateTime":"2020\/11\/16 08:07:16","wapurl":"http:\/\/\/\/ln.ifeng.com\/c\/81QRoiHPVeC","introduction":"","wwwurl":"http:\/\/\/\/ln.ifeng.com\/c\/81QRoiHPVeC","commentsUrl":"ucms_81QRoiHPVeC","commentCount":0,"text":"
近日,盘锦辽油宝石花医院多科室团结协作,无缝衔接,成功救治了一例肺癌术后合并严重肺动脉栓塞患者。目前,该患者已康复出院。<\/p>
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现年57岁的张先生,因患肺癌实施了右肺上叶袖式切除、右肺中叶切除、右肺下叶楔形切除手术。术后第三天下午患者上厕所时,突然出现胸痛、大汗淋漓。回病房检查结果显示,动脉血氧分压39毫米汞柱,动脉血氧饱和度70%左右,患者乏氧非常严重。心胸外科主任沈兆坤查看患者后,首先考虑为急性肺梗塞,立即给予化验检查,并组织呼吸内科和重症医学科前来会诊。<\/p>
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当时已到下班时间,心胸外科全体医护人员均留下来投入到抢救中,对患者实施了无创呼吸机和抗凝治疗。20分钟过去,患者乏氧状况没有改善。为保证患者安全,心胸外科当机立断将患者送到重症医学科进一步治疗。<\/p>
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重症医学科接到患者,马上采取高流量给氧,密切观察血氧状况,并随时做好有创通气治疗准备。经过进一步的抽血化验和CT下血管成像检查,确定最终诊断和发病早期诊断一致,为左肺下动脉栓塞。随后,重症医学科明确了抗凝治疗方向,给与患者加强抗凝和高流量吸氧,并随时观察血凝和血氧指标,及时调整治疗方案,分秒不延误患者治疗。患者病情逐渐趋向平稳,术后8天顺利出院。<\/p>
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专家解读<\/p>
沈兆坤介绍,急性肺动脉栓塞是非常危险的一种病症,误诊率高,病死率高,原因是短时间内不能快速甄别,由其导致严重休克、通气血流比例失衡、低氧血症、高二氧化碳血症致使病人心跳骤停,甚至死亡。此例危重患者的抢救过程环环相扣,在短短一个小时内,多学科协作,及时明确诊断,早期实施有效抢救,进而成功挽救了病人的生命,充分彰显了医院强大的急诊急救实力和多学科协作的优良传统。<\/p>
来源:盘锦日报微信公众号<\/p>","img":[{"url":"http:\/\/d.ifengimg.com\/mw640_q100\/x0.ifengimg.com\/ucms\/2020_47\/0CDD612512BDF6300561F8F22DDE0A1C87297A80_w1000_h669.jpg","size":{"width":"640","height":"428"}},{"url":"http:\/\/d.ifengimg.com\/mw640_q100\/x0.ifengimg.com\/ucms\/2020_47\/3374E64B8CBAC609796C5870D2088E54A0EFCA34_w1000_h685.jpg","size":{"width":"640","height":"438"}},{"url":"http:\/\/d.ifengimg.com\/mw640_q100\/x0.ifengimg.com\/ucms\/2020_47\/9B7304CC5E3F7DB77F43E631881B973302624BA4_w1000_h750.jpg","size":{"width":"640","height":"480"}},{"url":"http:\/\/d.ifengimg.com\/mw640_q100\/x0.ifengimg.com\/ucms\/2020_47\/752C13C941D658F65D6C594D6DEACBB2B5F80C7C_w1000_h750.jpg","size":{"width":"640","height":"480"}}],"summary":"近日,盘锦辽油宝石花医院多科室团结协作,无缝衔接,成功救治了一例肺癌术后合并严重肺动脉栓塞患者。目前,该患者已康复出院。现年57岁的张先生,因患肺癌实施了右肺上","sharesummary":"近日,盘锦辽油宝石花医院多科室团结协作,无缝衔接,成功救治了一例肺癌术后合并严重肺动脉栓塞患者。目前,该患者已康复出院。现年57岁的张先生,因患肺癌实施了右肺上","commentType":"0","showclient":"0","shareurl":"https:\/\/ishare.ifeng.com\/c\/s\/v002fT97MMY8yHoLuSh9ch9gtDLHr4ClDExhkMMpfFrl4co__","praise":"0","like_num":"0"}}