外科手术及内科介入术后肺栓塞50例分析

目的分析外科手术及心内科介入术后患者急性肺栓塞的发生情况,提醒临床医生应重视对术后肺栓塞的预防。方法回顾性分析北京协和医院1996至2004年期间于外科手术及心内科介入术后发生肺栓塞患者的临床资料。结果该期间住院患者诊断肺栓塞303例,其中50例发生于各种手术后,占16.5%(50/303);患者平均年龄57岁(27~79岁),死亡者14例;术后肺栓塞不仅常见于胸外科、普外科、妇产科等大手术后,也见于小手术甚至心内科介入术后;病死率28.0%(14/50)。结论手术是急性肺栓塞的一个重要危险因素,术后肺栓塞不限于老年人,也常见于年轻患者,应引起临床注意。

Clinical analysis of fifty cases with pulmonary embolism after surgical operation and medical intervention

Objective To analyze the occurrence of acute pulmonary embolism(PE) after surgical operation and medical intervention to remind clinicians to pay more attention to the prevention of postoperational PE.Methods Clinical data from patients with post-operational and post-medical interventional PE hospitalized at Peking Union Medical College Hospital during 1996 to 2004 were retrospectively analyzed.Results Totally,303 patients with PE were diagnosed during that period,and 50 cases(16.5%) occurred after surgical operation and 14 died with a case fatality ratio of 28.0%.Mean age of the patients was 57 years old,ranging from 27 to 79.Post-operational PE was often seen in patients after major surgical operations such as thoracic,general,gynecological and obstetric surgery,as well as in those with minor operation or medical intervention.Conclusions Surgical operation is an important risk factor for acute PTE,occurring not only in the aged patients but also in young people,and more attention should be paid to it clinically.