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随着临床医生对深静脉血栓形成(DVT)和肺栓塞(PE)认识水平的提高、诊断技术的进展,以及社会的老龄化,PE的发生率逐年增多。骨科PE是围手术期灾难性并发症之一。通过对2007～2009年15例施行髋膝关节置换术或下肢骨折内固定术,术后并发肺栓塞的患者进行回顾性分析,以提高对肺栓塞的认识。结论应对肺栓塞的最好措施是积极预防,特别是预防深静脉血栓形成。
With clinicians increasing awareness of deep venous thrombosis (DVT) and pulmonary embolism (PE), advances in diagnostic techniques, and social aging, the incidence of PE has increased year by year. Orthopedic PE is one of the perioperative catastrophic complications. Through retrospective analysis of 15 cases who underwent hip-knee arthroplasty or lower extremity fracture fixation and postoperative pulmonary embolism from 2007 to 2009, the knowledge of pulmonary embolism was improved. Conclusion The best measures to deal with pulmonary embolism are active prevention, especially for prevention of deep venous thrombosis.