外科手术相关肺栓塞24例临床分析
【摘要】目的：回顾分析外科手术后患者肺栓塞的发病情况，以引起外科医师对该病预防和诊治的重视。方法：回顾性分析2000年至2010年共24例手术后肺栓塞患者的临床资料。从患者的手术种类、发生肺栓塞的危险因素、临床表现、辅助检查、诊断、治疗及转归等方面进行综合分析。结果：24例患者中，平均年龄（60±16）岁，其中抗凝治疗16例，溶栓治疗8例。肺栓塞最常见于普通外科（58.3%）、骨科（25%）、胸外科（12.5%）、血管外科（4.2%）。结论：外科手术是发生肺栓塞的重要危险因素，应该重视外科手术相关肺栓塞的预防和诊治。
【关键词】外科手术；肺栓塞；危险因素
【中图分类号】R619【文献标识码】Ｂ【文章编号】1008-6455（2011）10-0091-02Surgery-related pulmonary embolism in 24 cases Dengyukai Zhouzhaoxia Zhaoxizong
Deng YukaiZhou ZhaoxiaZhao Xizong
【Abstract】Objective: Retrospective analysis of patients after surgery the incidence of pulmonary embolism, caused by the surgeon to disease prevention and treatment of attention. Methods: A retrospective analysis from 2000 to 2010 a total of 24 cases of pulmonary embolism after surgery in patients with clinical data. The type of surgery from the patient, the occurrence of pulmonary embolism risk factors, clinical manifestations, laboratory examinations, diagnosis, treatment and outcome in areas such as comprehensive analysis. Results: 24 patients, average age (60±16) years, and anticoagulant treatment of 16 cases, thrombolytic therapy in 8 cases. The most common pulmonary embolism in general surgery (58.3%), orthopedic (25%),thoracic surgery (12.5%) vascular surgery (4.2%). Conclusion:Surgery is an important risk factor for pulmonary embolism, surgery-related pulmonary embolism should pay attention to the prevention and treatment.
【Key words】Surgical intervention;Pulmonary embolism;Risk factors
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