Svendsen E, Karwinski B, Aardal N P
Department of Pathology, Gade Institute University of Bergen, Norway.
Pathol Res Pract. 1991 Mar;187(2-3):267-70. doi: 10.1016/S0344-0338(11)80782-X.
The frequency of pulmonary embolism in patients with circulatory disturbances in the lower limbs (CDLL) or intestine (CDI) were investigated in an autopsy series. Pulmonary embolism was seen more frequently in patients with CDLL than in patients with CDI. This difference was maintained irrespective of duration of last admission. Patients with CDLL had pulmonary embolism in 36% of the cases when they stayed in the hospital for more than 5 days prior to death, versus 12% in CDI patients. Pulmonary embolism occurred with approximately equal frequency in all age-groups. Surgery had little influence on the occurrence of pulmonary embolism in patients with CDLL. In 85% of the CDLL cases, pulmonary embolism (n = 81) was considered the immediate cause of death at autopsy. The awareness of this life-threatening disease is poor as only 12% had been diagnosed prior to death.
在一项尸检系列研究中，对下肢循环障碍（CDLL）或肠道循环障碍（CDI）患者的肺栓塞发生率进行了调查。CDLL患者发生肺栓塞的频率高于CDI患者。无论上次入院时间长短，这种差异均持续存在。当CDLL患者在死亡前住院超过5天时，36%的病例发生了肺栓塞，而CDI患者为12%。肺栓塞在所有年龄组中的发生率大致相同。手术对CDLL患者肺栓塞的发生影响不大。在85%的CDLL病例中，肺栓塞（n = 81）在尸检时被认为是直接死因。对这种危及生命疾病的认知度较低，因为只有12%的患者在死亡前被诊断出来。
