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[动脉性肺血栓栓塞作为胸外科手术死亡原因]

[Arterial pulmonary thromboembolism as a cause of mortality in thoracic surgery].

作者信息

Dobrovolśkiĭ S R, Fishkova Z P, Sheremetéva G F, Malinovskiĭ N N, Perelman M I

出版信息

Khirurgiia (Mosk). 1994 Nov(11):5-9.

PMID:7715142
Abstract

Analysis of hospital mortality showed that thromboembolism of the pulmonary artery was a cause of lethal outcomes in thoracic surgery in 0.4% of hospitalized patients, in 0.7% of those who underwent operation, in 14.8% of all patients who died, and in 15.6% of those who died in the postoperative period. The principal causes of death in thromboembolism of the pulmonary artery were various diagnostic errors (79.5%), severity of the patient's initial condition (14.1%), and defective treatment (6.4%). Prevention of thromboembolism of the pulmonary artery is based on timely detection of its sources by wider use of ultrasonic and radionuclide methods, rarer application of invasive diagnostic methods, and the use of anticoagulant therapy after operations in the risk groups.

摘要

对医院死亡率的分析表明,肺动脉血栓栓塞是胸外科住院患者中0.4%、接受手术患者中0.7%、所有死亡患者中14.8%以及术后死亡患者中15.6%的致死原因。肺动脉血栓栓塞的主要死亡原因是各种诊断错误(79.5%)、患者初始病情的严重程度(14.1%)以及治疗不当(6.4%)。肺动脉血栓栓塞的预防基于通过更广泛地使用超声和放射性核素方法及时发现其来源、减少侵入性诊断方法的应用以及对风险组患者术后使用抗凝治疗。

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