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。
Objective：To study the clinical symptoms and diagnostic methods of acute pulmonary embolism in fracture sur gery 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 suscep- tible 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.
出处
《中国中医骨伤科杂志》
CAS
2013年第6期16-18,共3页
Chinese Journal of Traditional Medical Traumatology & Orthopedics
关键词
骨科手术
肺栓塞
诊断
治疗
Orthopaedic surgery
Pulmonary embolism
Diagnosis
Treatment
