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目的:探讨普外科术后肺栓塞的临床特点。方法:分析2005/2008年11例术后肺栓塞诊治经过。结果:1周内发病8例,2周内发病3例。6例经溶栓、抗凝痊愈;5例死亡,4例栓塞后30 min死亡,1例行溶栓治疗,未能控制,3h内死亡。结论:及时、正确的早期诊治和有效的预防措施是降低肺栓塞发生率、致死率的有效策略。
Objective: To investigate the clinical features of pulmonary embolism after general surgery. Methods: Eleven patients with postoperative pulmonary embolism diagnosed and treated in 2005/2008 were analyzed. Results: 8 cases in 1 week, 3 cases in 2 weeks. 6 cases were thrombolytic and anticoagulant cured; 5 cases died, 4 cases died 30 min after embolization, and 1 case received thrombolytic therapy, which failed to control and died within 3 hours. Conclusion: Timely and correct early diagnosis and treatment and effective preventive measures are effective strategies to reduce the incidence of pulmonary embolism and mortality.