Popiliev I, Chernev Ts, Chuleva I, Kolev S, Vasilev Kh
Vutr Boles. 1985;24(6):101-6.
The results from the studies on the case histories of 115 deceased decompensated cardiac patients with pulmonary thromboembolism are reported in the paper. It was established that those were mainly elderly people, both sexes almost equally engaged. The probable origin of embolism is analyzed in details as well as the concomitant diseases, anamnestic and clinical symptoms, some paraclinical deviations and the course of the disease. The involvement of the trunk or main branch and of the middle and small branches of pulmonary artery were separately discussed. Some differences are emphasized with the two localization of pulmonary thromboembolism. Finally, the various forms of the disease (cerebral, pulmonary, cardiac and abdominal) are discussed in details, with attention paid to the possible errors with them.
本文报道了对115例死于失代偿性心力衰竭合并肺血栓栓塞患者的病史研究结果。结果表明,这些患者主要为老年人,男女比例相近。详细分析了栓塞的可能来源、伴随疾病、既往史和临床症状、一些临床旁证偏差以及疾病进程。分别讨论了肺动脉主干或主要分支以及中小分支的受累情况。强调了肺血栓栓塞两种定位的一些差异。最后,详细讨论了疾病的各种形式(脑型、肺型、心脏型和腹型),并关注其中可能存在的误诊情况。