Characteristics of fatal pulmonary embolism due to peri-operative orthopedic surgery
- VernacularTitle:骨科围手术期致死性肺栓塞的特点
- Author:
Jianzheng ZHANG
;
Tiansheng SUN
;
Zhi LIU
- Publication Type:Journal Article
- Keywords:
orthopedic surgery;
pulmonary embolism;
strategy
- From:
Orthopedic Journal of China
2006;0(18):-
- CountryChina
- Language:Chinese
-
Abstract:
[Objective]To investigate the characteristics of fatal pulmonary embolism (PE) due to peri-operative orthopedic surgery and provide clinical recommendations for surgeons.[Method]Form September 2000 to September 2006,15 cases of fatal PE were treated.All cases were retrospectively analyzed,assessed and compared regard to specific risk factors,diagnostic process,treatment results and preventive measures.[Result]Orthopedic surgery may lead to proximal deep vein thrombosis (DVT),especially in patients with spinal cord injury,lower extremity or pelvic fracture.Fatal PE is surprisingly common and is not necessarily heralded by dramatic symptoms or signs associated with DVT,but can lead to substantial morbidity and mortality.So the preventive,diagnostic and therapeutic strategy of PE of orthopedic surgery is different form chronic PE.[Conclusion]The morbidity of fatal PE duo to peri-operative orthopedic surgery is insidious but serious.Thrombolytic treatment can improve the survival rate for patients with acute pulmonary embolism.
