Shaposhnikov S A, Chernov V N, Zabolotskikh I B
Anesteziol Reanimatol. 2004 May-Jun(3):21-4.
24,564 autopsy protocols from the central city hospital and oncology dispensary were analyzed in order to evaluate the rate and dynamics of postoperative thrombotic complications (PTC). The PTC rate was 14.89% and went up two-fold within the recent 20 years. The rate of pulmonary thromboembolism (PTE) was 10.13%; it increased during the recent 20 years from 6.75% to 17.30%. No significant difference was registered between the PTE rates in oncology and other patients (16.01% and 14.10%, respectively). Pelvic vein thrombosis was defined as a source of PTE in 50.11% of cases; deep vein thrombosis was found only in 28.54% of cases. The rate of the in-life PTE diagnosis was 42.8%. Despite refinements and standardization related with the use of anticoagulants, prevention and PTC management, the discussed phenomenon still remains a crucial issue for practitioners.
为评估术后血栓形成并发症（PTC）的发生率及动态变化，对中心城市医院和肿瘤诊疗所的24564份尸检报告进行了分析。PTC发生率为14.89%，在最近20年内增长了两倍。肺血栓栓塞（PTE）发生率为10.13%；在最近20年内，其发生率从6.75%增至17.30%。肿瘤患者和其他患者的PTE发生率之间无显著差异（分别为16.01%和14.10%）。50.11%的病例中，盆腔静脉血栓被确定为PTE的来源；仅28.54%的病例发现有深静脉血栓。生前PTE诊断率为42.8%。尽管在抗凝剂的使用、预防和PTC管理方面有改进和标准化措施，但上述现象仍是从业者面临的关键问题。
