79例急性肺栓塞广泛型与亚广泛型对比

来源 :日本医学介绍 | 被引量 : 0次 | 上传用户:cheqiu
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肺栓塞症是欧美极为常见的循环系统急症,常常是长期卧床、心功能不全和恶性肿瘤等患者致死的直接原因。尸检证实发生率为64%(1965年)和52%(1968年)。日本有的尸检报告为2.1%(1962年)。作者曾连续对225例尸检,证实本病有54例(24%)。近9年内,经肺闪烁图、肺动脉造影和尸检确诊了79例,其中广泛型25例,亚广泛型35例,不能分类的19例。病因中,血栓性静脉炎、心肺疾病占41%;外伤占27%;长期卧床占24%,肥胖占22%,恶性肿瘤占 Pulmonary embolism is a very common circulatory system emergency in Europe and the United States, often as a direct cause of death in patients with long-term bed rest, cardiac insufficiency and malignant tumors. Autopsy confirmed the incidence of 64% (1965) and 52% (1968). Some autopsy reports in Japan were 2.1% (1962). The authors have consecutive 225 autopsy confirmed the disease in 54 cases (24%). In the past 9 years, 79 cases were confirmed by pulmonary scintigraphy, pulmonary angiography and autopsy, of which 25 cases were extensive type, 35 cases were sub-extensive type and 19 cases were unclassified. Etiology, thrombophlebitis, heart and lung disease accounted for 41%; trauma accounted for 27%; long-term bed rest accounted for 24%, obesity accounted for 22% of malignant tumors
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