Smith D C
Tufts University School of Medicine, Department of Emergency Medicine, Baystate Medical Center, Springfield, Massachusetts 01199, USA.
J Emerg Med. 1996 Nov-Dec;14(6):715-7. doi: 10.1016/s0736-4679(96)00182-5.
Pulmonary embolism remains a serious cause of morbidity and mortality. Diagnosis based on clinical manifestations remains difficult. Prior reviews have rarely noted the potential for patients to present with abdominal complaints. Presented here is the case of a 28-yr-old woman who had signs and symptoms of an intra-abdominal catastrophe. The patient underwent laparotomy and at surgery had findings suggesting primary intra-abdominal pathology. Autopsy results indicated that pulmonary embolism was responsible for the patient's presentation and death.
肺栓塞仍然是发病和死亡的一个严重原因。基于临床表现进行诊断仍然很困难。既往的综述很少提到患者出现腹部症状的可能性。本文介绍了一名28岁女性的病例，她有腹腔内病变的体征和症状。该患者接受了剖腹手术，术中发现提示原发性腹腔内病变。尸检结果表明，肺栓塞是导致该患者出现症状及死亡的原因。
