肺栓塞症382例尸检材料分析

本文报告382例肺栓塞症的尸检材料。男性194人,女性188人;年龄在14岁至94岁之间,平均年龄为62岁。肺栓塞最多继发于恶性肿瘤(39.8％)、肺动脉粥样硬化症(14.1％)、深部静脉血栓形成(11.5％)、心肌梗死(11.0％)和慢性肺源性心脏病(9.9％)等疾患。血栓栓塞是肺栓塞最常见的发病原因,肺栓塞见于心、肺和血管疾患者占全部病例数的54.1％。本组382例中,临床表现为猝死32例(占8.4％),合并肺梗死237例(占62.1％),患者死亡前临床诊断为肺栓塞者114例(占29.8％)。文中对肺栓塞症的病因学和发病机理、病理改变和临床表现进行了讨论。

Pulmonary Embolism

Data concerning pulmonary embolism from 382 autopsies were reported in this paper. The data concered 194 males and 188 females. The age at death was from 14 years to 94 years and the average age of death was 62.4 years. The primary underlying disease processes were as follows: Malignant tumor 39.8% Pulmonary artery 14.1% arteriosclerosis Deep vein thrombosis 11.5% Myocardial infaction 11.0% Chronic pulmonary 9.9% heart disease Most of the pulmonary emboli (54 1%) were associated with heart, lung and blood vessel diseases and the most frequ- ent cause of the pulmonary embolus was thromboembolism. of the 382 cases, 237 cases (62.1%) had pulmonary infarction. The antemortem diagnosis of pulmonary embolism was made in 114 cases (29.8%). 32 cases (8.4%) had sudden death as a result of their pulmonary embolus. In the present paper the incidence, pathogenesis, pathologic changes and clinical manife- stations of pulmonary embolism were discussed.