髋部及下肢骨折并发急性肺栓塞规范化诊治的临床意义

目的探讨髋部及下肢骨折患者并发肺栓塞规范化治疗的作用及意义。方法回顾性分析2003～2007年与2008～2010年共598例临床资料,分为非规范化治疗组与规范化治疗组,进行纵向对比分析。结果髋部及下肢骨折患者因卧床时间相对较长,易合并肺栓塞,是骨外科比较常见的并发症之一;规范化治疗组肺栓塞的确诊例数明显增加,呈逐年增多趋势,确诊比例增高（P〈0.01）,确诊时间缩短（P〈0.01）。结论采用肺栓塞的规范化诊治程序,极大地推动了肺栓塞的诊治工作。

Hip and lower extremity fracture diagnosis and treatment of acute pulmonary embolism, the clinical significance of standardized

Objective To explore the hip and lower extremity fractures in patients with pulmonary embolism,the role and significance of standardized treatment.Methods A retrospective analysis of 2003～2007 years 2008～2010 years with a total of 598 cases of clinical data,divided into non-standardized treatment group and the standard treatment group,longitudinal comparative analysis.Results Hip and lower limb fractures due to the relatively long time in bed,easy to merge pulmonary embolism,is more common bone complications of surgery;breathing difficulties as the main symptoms.Standardized diagnosis of pulmonary embolism treatment group significantly increased the number of cases,was increasing year by year,confirmed increased the proportion（P0.01）,diagnosis time（P0.01）.Conclusion The diagnosis and treatment of pulmonary thromboembolism in the standardization process,which greatly promoted the diagnosis and treatment of pulmonary thromboembolism.