肺栓塞是内源性或外源性栓子堵塞肺动脉或其分支引起肺循环障碍的临床和病理生理综合征,病情凶险,病死率较高。虽然早年报道急性肺栓塞的手术病死率达16%～24%,甚至高达80%〔1〕。但是目前对某些药物或介入治疗无效的病例,手术治疗可能是惟一选择,治疗策略还有待探讨。我院于20 Pulmonary embolism is a clinical and pathophysiological syndrome that causes endogenous or exogenous emboli to clog the pulmonary artery or its branches to cause impediment to pulmonary circulation. It is dangerous and has a high case fatality rate. Although early reports of acute pulmonary embolism surgery mortality rate of 16% to 24%, or even up to 80% 〔1〕. However, the current treatment of some drugs or interventional cases ineffective, surgical treatment may be the only choice, treatment strategies have yet to be explored. My hospital at 20