直腸癌術後に発症し,救命可能であった肺動脈塞栓の2例

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  • PULMONARY THROMBOEMBOLISM AFTER RECTAL OPERATION -REPORT OF TWO CASES-

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We experienced two cases of pulmonary thromboembolism after rectal operation. Pulmonary thromboembolism occurred on 14th postoperative day in case 1, on sixth postoperative day in case 2. Pulmonary perfusion scan was useful for diagnosis and thrombolytic therapy was successful. Lithotomy position, obesity and dehydration were important factors for pulmonary thromboembolism, and lymphadenectomy around the internal iliac vessels was another important factor in case 1. To avoid, diagnose and treat pulmonary thromboembolism after rectal operation, we should attempt to shorten operative time at lithotomy position; take care of clinical symptoms; and carry out pulmonary perfusion scan and subsequent thrombolytic therapy in an early phase.

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