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目的回顾性总结下肢骨折并发肺动脉栓塞(PE)的诊治和转归情况,为临床预防、及早发现并及时治疗骨折并发PE提供参考。方法收集笔者所在科室近年收治的20例资料完整的骨折并发PE患者病历,回顾性分析其诊治方法及转归,总结防治策略。结果在20例患者中,2例住院期间因PE死亡,其余18例治愈出院随访至今效果满意。结论提高对PE的认识,是早期发现PE的前提,应对PE的最好措施是积极预防,特别是预防下肢静脉血栓形成。提高医生观察、判断病情的能力,争取治疗及抢救时机可减少PE的病死率。
Objective To retrospectively summarize the diagnosis and treatment of lower extremity fractures complicated with pulmonary embolism (PE) and provide references for clinical prevention, early detection and timely treatment of fractures complicated with PE. Methods The author collected 20 cases of recent cases of data in patients with PE complicated with PE, and retrospectively analyzed the diagnosis and treatment methods and outcomes, summed up the prevention and treatment strategies. Results Of the 20 patients, 2 died of PE during hospitalization, and the remaining 18 patients were cured and discharged satisfactorily up to now. Conclusions Increasing awareness of PE is a prerequisite for the early detection of PE. The best response to PE is active prevention, especially for the prevention of venous thrombosis of the lower extremities. Improve the doctor’s observation, the ability to judge the condition, for treatment and rescue timing can reduce the mortality of PE.