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[肺动脉术后血栓栓塞的临床病理解剖分析]

[Clinical-pathologoanatomic analysis of post-operative thromboembolism of pulmonary artery].

作者信息

Baeshko A A, Kriuchok A G, Korsak S I, Iushkevich V A, Rogov Iu I, Puchkov A F, Chaplygina V V

机构信息

Minsk Medical Institute, 220116, Minsk.

出版信息

Arkh Patol. 2001 Jan-Feb;63(1):23-7.

Abstract

Autopsy and clinical data were analysed for 803 surgical patients whose death was due to pulmonary artery thromboembolism (PAT). PAT was diagnosed intravitally in 32% of the deceased. 87% of the patients with PAT symptoms died within 2 hours. 3/4 of PATs developed in uneventful postoperative period, 1/4--in complications. The cause of PAT in 99.3% of cases were thromboses in vena cava inferior. In 88.3% of cases these thromboses ran latently. Frequency of postoperative PAT as a cause of death was 1.4% in 1972-1973, 2.1% in 1990-1991, 1.3% in 1997. The fall of the death rate is explained by introduction of drug prophylaxis of PAT.

摘要

对803例因肺动脉血栓栓塞(PAT)死亡的外科手术患者的尸检和临床资料进行了分析。生前诊断出PAT的患者占死亡患者的32%。出现PAT症状的患者中,87%在2小时内死亡。四分之三的PAT发生在术后平稳期,四分之一发生在并发症期间。99.3%的PAT病例病因是下腔静脉血栓形成。其中88.3%的血栓形成呈隐匿性。1972 - 1973年,术后PAT作为死亡原因的发生率为1.4%,1990 - 1991年为2.1%,1997年为1.3%。死亡率的下降归因于PAT药物预防措施的采用。

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