中国实用外科杂志2026，Vol.46Issue(5)：624-628,5.DOI:10.19538/j.cjps.issn1005-2208.2026.05.05
普通外科围手术期肺栓塞预防与管理
Prevention and management of perioperative pulmonary embolism in general surgery
摘要
Abstract
Pulmonary embolism during the perioperative period of general surgery elevates mortality risk.Individual and treatment-related factors,underlying diseases,and the awareness of surgeons to bleeding and thromboembolism risk evaluation may influence the diagnostic assessment,prevention,and treatment strategy of pulmonary embolism.The symptoms,signs,D-dimer levels,electrocardiogram,and ultrasound findings of pulmonary embolism lack specificity.Computed tomography pulmonary angiography(CTPA)may not be feasible in the patients with severe hemodynamic instability,thereby affecting diagnostic accuracy.Therefore,it is essential to optimize the diagnostic protocol,appropriately determine the timing of anticoagulation and reperfusion therapy,and standardize the perioperative management of anticoagulant medications,including discontinuation,bridging,and resumption.Furthermore,indications for interventional treatments such as catheter-directed thrombolysis and inferior vena cava filter placement should be strictly limited.关键词
围手术期/肺栓塞/预防/抗凝Key words
perioperative period/pulmonary embolism/prevention/anticoagulation分类
医药卫生引用本文复制引用
刘一娜,马晓春..普通外科围手术期肺栓塞预防与管理[J].中国实用外科杂志,2026,46(5):624-628,5.基金项目
辽宁省教育厅高校基本科研项目(No.LJ232410159031) University Basic Scientific Research Project of Liaoning Provincial Department of Education(No.LJ232410159031) （No.LJ232410159031）
