Wittmann P H, Wittmann F W, Ring P A
Dorking Hospital, Joint Replacement Unit.
J R Soc Med. 1991 Sep;84(9):536-9. doi: 10.1177/014107689108400911.
A retrospective study of the morbidity and mortality from deep vein thrombosis (DVT) and pulmonary embolus (PE) in 490 consecutive patients undergoing uncemented total hip replacement was carried out in a district general hospital. Special diagnostic tests for DVT and PE were not available. Patients were followed up for one year. There were three deaths in hospital and eight further deaths during the first year, all unrelated to DVT and PE. The clinical incidence of venous thromboembolism was 2.04%. While clinical diagnosis of venous thromboembolic disease probably underestimates its incidence, the figures for mortality are accurate. With every patient accounted for one year after operation, there were no deaths attributable to PE in this series.
在一家地区综合医院，对490例连续接受非骨水泥型全髋关节置换术的患者进行了一项关于深静脉血栓形成（DVT）和肺栓塞（PE）发病率及死亡率的回顾性研究。当时没有针对DVT和PE的特殊诊断测试。对患者进行了为期一年的随访。住院期间有3例死亡，在第一年另有8例死亡，所有死亡均与DVT和PE无关。静脉血栓栓塞的临床发病率为2.04%。虽然静脉血栓栓塞性疾病的临床诊断可能低估了其发病率，但死亡率数据是准确的。在术后一年对每位患者进行追踪后，该系列中没有死于PE的病例。
