[1]王世太 张凌云 王承祥.10例骨折手术中急性肺栓塞的临床观察[J].中国中医骨伤科杂志,2013,21(06):16-18.
　WANG Shitai ZHANG Lingyun WANG Chengxiang.Experiences in diagnosis and treatment of acute pulmonary embolismin fracture surgery: a report of 10 cases[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2013,21(06):16-18.
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10例骨折手术中急性肺栓塞的临床观察
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第21卷
期数:
2013年06期
页码:
16-18
栏目:
临床研究
出版日期:
2013-06-03

文章信息/Info

Title:
Experiences in diagnosis and treatment of acute pulmonary embolism in fracture surgery: a report of 10 cases
作者:
王世太1 张凌云1 王承祥1
1甘肃省中医院(兰州,730050)
Author(s):
WANG Shitai1 ZHANG Lingyun1 WANG Chengxiang1
1Gansu Hospital of Traditional Chinese Medicine,Lanzhou 730050,China
关键词:
骨科手术;  肺栓塞;  诊断;  治疗
Keywords:
Orthopaedic surgery;  Pulmonary embolism;  Diagnosis;  Treatment
摘要:
目的:探讨骨折手术中急性肺栓塞的诊治方法。方法:回顾性分析发生于我科并确诊的10例骨折手术中肺栓塞患者的临床资料。结果:10例患者中都存在肺栓塞的易患因素,发病时机及临床表现的多样性,综合相关检查或尸检结果明确诊断。结论:术中急性肺栓塞,由于发病急,症状重,死亡率高,临床表现多种多样,诊断困难,需要结合术中肺栓塞的易患因素、诱因、发病时机以及术中相关检查结果(D二聚体,心电图,血气分析等),尽快做出相对准确的初步诊断,为后继检查、治疗争取时间。及时治疗是提高术中急性肺栓塞救治率的关键。
Abstract:
To study the clinical symptoms and diagnostic methods of acute pulmonary embolism in fracture surgery in order to provide prompt diagnosis and treatment, which reduce the mortality and improve the prognosis. Methods:10 cases of acute pulmonary embolism in fracture surgery were analyzed retrospectively. Results:All the cases have susceptible factors of acute pulmonary embolism. The onset time and clinical manifestation were variable so the diagnosis need to be validated by correlated examination and autopsy results. Conclusion:The acute pulmonary embolism in fracture surgery has variable clinical manifestation which makes the diagnosis difficult and the mortality rate is high. The combination of the susceptible factors, onset time, inducement and correlated examination(such as D-dimer, ECG and blood gas analysis)is an accurate method for primary diagnosis. And prompt diagnosis and treatment is the key to improve salvage rate.

参考文献/References:

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更新日期/Last Update: 2013-06-03