Lee John, Alexander Ashlin, Higgins Kevin, Geerts William
Department of Otolaryngology-Head & Neck Surgery, University of Toronto, Toronto, Ontario.
J Otolaryngol Head Neck Surg. 2008 Aug;37(4):547-51.
To determine the incidence of venous thromboembolism in otolaryngology patients at a Canadian tertiary care hospital.
This was a retrospective review of all otolaryngology operations at Sunnybrook Health Sciences Centre between January 1, 1989, and December 31, 2004. All patients who developed a deep vein thrombosis (DVT), a pulmonary embolism (PE), or both as in-patient postoperative complications were identified.
Fourteen patients were identified in our study. Ten patients (71.4%) developed a DVT, five patients developed a PE (35.7%), and one patient (7.1%) developed both. The overall incidence of DVT and PE was 0.1% and 0.05%, respectively. The highest incidence occurred in patients undergoing major head and neck surgery. Patients who developed a PE had a statistically significantly longer hospital stay than patients who developed a DVT (p < .05). There were two deaths in the five patients who developed a PE.
Venous thromboembolism is an infrequent but potentially devastating cause of morbidity and mortality in the otolaryngology patient population.
确定加拿大一家三级护理医院耳鼻喉科患者静脉血栓栓塞症的发生率。
这是一项对1989年1月1日至2004年12月31日期间在桑尼布鲁克健康科学中心进行的所有耳鼻喉科手术的回顾性研究。确定所有发生深静脉血栓形成（DVT）、肺栓塞（PE）或两者均作为住院术后并发症的患者。
我们的研究中确定了14名患者。10名患者（71.4%）发生了DVT，5名患者发生了PE（35.7%），1名患者（7.1%）两者均发生。DVT和PE的总体发生率分别为0.1%和0.05%。最高发生率发生在接受重大头颈手术的患者中。发生PE的患者住院时间在统计学上显著长于发生DVT的患者（p <.05）。发生PE的5名患者中有2人死亡。
静脉血栓栓塞症在耳鼻喉科患者人群中是一种不常见但可能具有毁灭性的发病和死亡原因。
