摘要： 目的：分析口腔颌面外科手术后疑似急性肺栓塞病例发作的临床特点，总结治疗和急救经验，加强对口腔颌面外科患者围术期突发急性肺栓塞的预防。方法：回顾性分析2008-03—2011-05在我院颌面外科住院手术后5例突发疑似急性肺栓塞病例的临床表现、辅助检查和治疗方法等情况。结果：5例患者均以突发呼吸困难为主要临床表现，发病后血清D?鄄二聚体显著升高，早期积极抗凝治疗有效。结论：口腔颌面外科术后出现呼吸困难应警惕肺栓塞的可能性，D-二聚体可作为诊断参考指标之一，及时进行抗凝治疗是治疗成功、改善预后的关键。

关键词:  , 肺栓塞；口腔颌面外科；手术并发症

Abstract: Objective: To analyze the clinical characteristics of the pulmonary embolism complication after oral and maxillofacial surgery, to summarize the therapeutic measures in order to improve the pulmonary embolism prevention. Methods: We retrospectively reviewed 5 suspected cases of pulmonary embolism after oral and maxillofacial surgery, including the clinical features, diagnosis and treatment. Results: The main clinical features were dyspnea after early defecation out of bed in 24 hours after the operation. The D-dimer in serum increased significantly in all 5 patients. Early anticoagulant therapy was effective. Conclusions: The increased D-dimer in serum along with dyspnea indicates the pulmonary embolism. Consult with a respiratory physician, early anticoagulant therapy are necessary and important.

Key words: pulmonary embolism, oral and maxillofacial surgery, complications

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• R782.053