摘要
目的：总结肺动脉栓塞猝死病例临床、病理特点。 方法：对５例来自不同科室的肺动脉栓塞死亡的患者进行临床资料及解剖进行分析。 结果：５例均为肺动脉干及左右分支的大块血栓栓塞，临床均漏诊肺栓塞。右心室腔均可见轻度扩大，肺动脉干扩大明显。镜下血栓体部均为混合性。 结论：巨大肺动脉栓塞是导致猝死常见原因之一，常继发于长期卧床或手术后，生前临床常不能明确诊断，对这类患者应想到本病的可能，采取特异性检查以明确诊断，及时诊治。
Objective:To summarize clinical and pa thological characteristics of sudden dea th patients caused by pulmonary embolism . Methods:The clinical and pathologic ma terials of 5 patients died of pulmonary embolism in different clinical departmen ts were studied. Results:Patients with unestablished pulmonary embolism were all found to have had large b lood thrombi in pulmonary artery and its branches in letf and right lungs.Right ventricle was slightly enlarged.The pulmonar y arteries were significantly dilated.Mi croscopic study indicated that the thrombus bodies were mixed on es. Conclusion:Large pulmonary embolius is one of the common reasons leading to sud den death.Usually embolism results from long bed staying or operation.It may be unrecognized before the patients die.Pulmon ary embolism should be suspected in these patients an d specific measures should be taken so a s to confirm the diagnosis.
出处
《中国循环杂志》
CSCD
北大核心
2001年第4期287-288,共2页
Chinese Circulation Journal
关键词
肺栓塞
病理
诊断
治疗
Pulmonary embolism
Sudden death
Autopsy
