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慢性反复性肺栓塞症常对抗治疗,特别是合并肺动脉高压、右心衰和呼吸衰竭的其预后极差。本文报道1例4年内反复发作的表现为肺动脉高压、右心功能不全的慢性反复性肺栓塞症,施行肺动脉血栓摘除术,术后自觉症状及临床表现均明显改善的病例。患者39岁,男性。因4年来活动时呼吸困难和胸痛而入院。入院时脉搏76/min,血压112/70mmHg,呼吸18/min,颈静脉明显怒张。右肺呼吸音略减弱,肺动脉第二音亢进,在胸骨左缘第四肋间有极明显的
Chronic recurrent pulmonary embolism often antagonistic treatment, especially with pulmonary hypertension, right heart failure and respiratory failure, its prognosis is poor. This article reports a case of recurrent 4 years showed pulmonary hypertension, right ventricular dysfunction in chronic recurrent pulmonary embolism, the implementation of pulmonary embolectomy, postoperative symptoms and clinical manifestations were significantly improved cases. Patient 39 years old, male. Admitted to hospital for dyspnea and chest pain during 4 years of activity. On admission, pulse 76 / min, blood pressure 112 / 70mmHg, breathing 18 / min, jugular vein was obviously engorgement. Right lung breath sounds slightly weakened, pulmonary second tone hyperthyroidism, the fourth intercostal space in the left sternal border has very obvious