摘要
目的分析手术后急性肺栓塞（APE）的易患因素、表现特点以及漏诊因素，以提高临床医师对术后APE的早期认识并增强预防观念。方法对43例外科手术后APE患者的一般资料、手术类别、易患因素、临床表现和预后进行回顾性分析。结果术后APE存在明显易患因素；常发生于术后2周之内；常见于恶性肿瘤（53．5％，23143）、骨科（27．9％，12／43）等手术后；临床表现多样、不典型，以胸闷、呼吸困难最常见（93．0％，40／43），与其他术后症状相似，易漏诊、误诊。结论手术是APE的重要危险因素之一，术前重视基础疾病的治疗，术后加强预防，早发现、早治疗，对减少术后APE的发生及改善预后具有重要意义。
Objective To analyze the risk factors, clinical characteristics, and missed factors of acute pulmonary embolism （APE） after surgery, so as to advise clinicians to improve understanding of the early postoperative APE and enhance prevention concepts. Methods Retrospectively analyzed the general information of 43 cases of surgical patients with APE after surgery categories, risk factors, clinical manifestations and prognosis. Results APE after surgery had obvious risk factors; often occurred within 2 weeks after surgery; commonly seen in malignant tumors （53.5%, 23/43 ）, orthopedics （27.9%, 12/43 ） and other major surgery; clinical manifestations wasn＇t typical, of which chest distress and dyspnea was the most common symptom （93.0% ,40/43）, and other postoperative symptoms were similar, easy to misdiagnosis. Conclusions Surgery is one of the important risk factors of APE. Preoperatively evaluating underlying diseases, postoperative strengthening preventional methods, early detection, early treatment, have great significance in reducing the occurrence of postoperative APE and improve the prognosis.
出处
《中国医师进修杂志》
2013年第14期8-11,共4页
Chinese Journal of Postgraduates of Medicine
关键词
肺栓塞
外科手术
危险因素
预防
Pulmonary embolism
Surgical procedures
Risk factors
Prevention
