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在初次创伤评估的胸部CT检查中发现的偶然肺栓塞。

Incidental pulmonary embolism identified on chest CT during initial trauma evaluation.

作者信息

Ruddy Jean Marie, Curry Nancy S, Norcross E Douglas, Leon Stuart M

机构信息

Departments of General Surgery, Medical University of South Carolina, Charleston, South Carolina 29425, USA.

出版信息

Am Surg. 2008 Dec;74(12):1146-8; discussion 1149-50.

PMID:19097526
Abstract

Deep venous thrombosis and pulmonary embolism frequently occur after trauma and continue to account for significant morbidity and mortality in this population. Asymptomatic pulmonary emboli are also believed to be quite common, but the incidence as well as the implications of these events is unknown. This case report describes two patients whose pulmonary emboli were found incidentally on the initial trauma workup. Very little has been written concerning this issue and in this case report we review the risk factors and clinical significance of these "incidentally discovered" pulmonary emboli.

摘要

创伤后常发生深静脉血栓形成和肺栓塞,这在该人群中仍是导致显著发病和死亡的原因。无症状肺栓塞也被认为相当常见,但这些事件的发生率及其影响尚不清楚。本病例报告描述了两名患者,他们的肺栓塞在最初的创伤检查中被偶然发现。关于这个问题的文献报道很少,在本病例报告中,我们回顾了这些“偶然发现”的肺栓塞的危险因素和临床意义。

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引用本文的文献

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Pulmonary embolism following severe polytrauma: a retrospective study from a level I trauma center in China.严重多发伤后肺栓塞:来自中国一家 1 级创伤中心的回顾性研究。
Eur J Trauma Emerg Surg. 2023 Aug;49(4):1959-1967. doi: 10.1007/s00068-023-02290-0. Epub 2023 Jun 7.
2
Perioperative Management of Incidental Pulmonary Embolisms on Trauma CT Scans: A Narrative Review.创伤CT扫描中偶然发现的肺栓塞的围手术期管理:一项叙述性综述
Cureus. 2023 Jan 31;15(1):e34469. doi: 10.7759/cureus.34469. eCollection 2023 Jan.