Woo K S, Tse L K, Tse C Y, Metreweli C, Vallance-Owen J
Department of Medicine, Chinese University of Hong Kong.
Int J Cardiol. 1988 Sep;20(3):373-80. doi: 10.1016/0167-5273(88)90291-4.
The prevalence and clinical pattern of pulmonary thromboembolism was studied by a multifaceted approach. This documented the occurrence of pulmonary thromboembolism among the Chinese and confirmed an increasing incidence in Hong Kong, although comparatively it was still much lower (about one-tenth) than that found in western communities. Their clinical pattern, regarding presentation, risk factors, clinical features and response to thrombolytic therapy, conformed well with those reported in the west, but perhaps appeared in a milder form. The strong association of pulmonary thromboembolism with varicose veins and immobilisation would appeal for recommending routine heparinisation in Chinese patients having these combinations. Our findings will stimulate more interest in the comparative study of the haematological profile and the ethnic particulars of the Chinese.
采用多方面的方法对肺血栓栓塞症的患病率和临床模式进行了研究。这证实了中国人群中存在肺血栓栓塞症，并确认香港的发病率呈上升趋势，尽管相对而言仍远低于西方社区（约为十分之一）。其临床表现、危险因素、临床特征及溶栓治疗反应等方面与西方报道的情况相符，但可能表现得较为轻微。肺血栓栓塞症与静脉曲张和制动密切相关，这表明对于患有这些合并症的中国患者，建议进行常规肝素化治疗。我们的研究结果将激发人们对中国人血液学特征和种族特殊性进行比较研究的更多兴趣。
