1、 2020/11/1422020/11/1432020/11/1442020/11/145 2020/11/146。2020/11/1472020/11/1482020/11/1492020/11/14102020/11/14112020/11/14122020/11/14132020/11/14142020/11/1415 2020/11/1416 2020/11/14172020/11/14182020/11/14192020/11/14202020/11/14212020/11/14222020/11/14232020/11/14242020/11/14252020/11/1426202
2、0/11/14272020/11/1428 2020/11/1429 2020/11/14302020/11/14312020/11/14322020/11/14332020/11/14342020/11/14352020/11/14362020/11/14372020/11/1438 2020/11/1439 2020/11/14402020/11/1441l 2020/11/14422020/11/14432020/11/1444 2020/11/14452020/11/14462020/11/14472020/11/14482020/11/14492020/11/14502020/11/
3、1451 2020/11/14522020/11/14532020/11/14542020/11/14552020/11/14562020/11/1457。2020/11/1458l是住院病人死亡的主要原因之一。是住院病人死亡的主要原因之一。l发病率:国内无大样本统计数字。法国:发病率:国内无大样本统计数字。法国:510万有万有症状的症状的PE/年,未加治疗者死亡率为年,未加治疗者死亡率为30%。l大的栓子可以即时致命,小栓子则产生复发性、隐大的栓子可以即时致命,小栓子则产生复发性、隐匿性匿性PE。l近些年来,近些年来,PE的高发生率和高死亡率,正在国内引的高发生率和高死亡率,正在国内引起高度
4、关注。起高度关注。l在抗凝治疗应用之前,以下腔静脉结扎或夹闭预防在抗凝治疗应用之前,以下腔静脉结扎或夹闭预防其发生。但此手术导致其发生。但此手术导致10-15%的病人死亡或发生的病人死亡或发生严重并发症。严重并发症。l1960s 后抗凝治疗后抗凝治疗 DVT,情况大为改观。,情况大为改观。2020/11/1459 2020/11/14602020/11/14612020/11/14622020/11/14632020/11/14642020/11/14652020/11/14662020/11/1467 No.of Patients withPE Study Type of Injury Pa
5、tients#(%)Sevitt and Gallaher Lower extremity 3026622 fractureWilliams,S&G Pelvic fracture 901719Silver,S&G Spine fracture 55733 6Brach,Naso,S&G Burns 16310 6Loon,S&G Head injury 18274OMalley Major trauma 1316302.3Shackford Major trauma 17742.25Rogers Major trauma 25252512020/11/14682020/11/14692020
6、/11/14702020/11/14712020/11/14722020/11/14732020/11/14742020/11/1475 2020/11/14762020/11/14772020/11/14782020/11/14792020/11/14802020/11/14812020/11/14822020/11/14832020/11/14842020/11/14852020/11/14862020/11/14872020/11/14882020/11/14892020/11/14902020/11/14912020/11/14922020/11/14932020/11/14942020/11/14952020/11/14962020/11/14972020/11/14982020/11/1499谢谢观赏!2020/11/5100