Smith E B
Department of Surgery, St Francis Medical Center, Pittsburgh, Pennsylvania 15201.
J Natl Med Assoc. 1991 Mar;83(3):255-7.
In clinical practice, the incidence, complications, and results of pulmonary embolism remain a serious challenge to medical and surgical clinicians. This article presents the historical aspects, pathophysiology, clinical features, diagnostic techniques, high risk factors, medical and surgical management, results, autopsy data, and prophylaxis of pulmonary embolism at the St Francis Medical Center for a 30-year period from 1958 to 1988, emphasizing the years 1979 to 1988. A concept for early diagnosis and prevention with improved morbidity and mortality also is presented.
在临床实践中,肺栓塞的发病率、并发症及治疗结果仍是医学和外科临床医生面临的严峻挑战。本文介绍了圣弗朗西斯医疗中心在1958年至1988年这30年间肺栓塞的历史背景、病理生理学、临床特征、诊断技术、高危因素、内科及外科治疗、治疗结果、尸检数据和预防措施,重点是1979年至1988年。本文还提出了一个关于早期诊断和预防的概念,以改善发病率和死亡率。