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致死性肺栓塞是手术后死亡的主要原因之一,在一般外科手术中如不行预防性措施,其发生率为10%。有证据表明,给予预防性药物如小剂量肝素、右旋糖酐或二氢麦角胺与小剂量肝素伍用,可降低发生率。本文就瑞典Malmo市综合医院外科30年间尸解病例记录作一检查,着重回顾性分析手术后和非手术肺栓塞死亡例栓塞类型的变化。该院自1950～1980年住院病人共手术119,393例,死亡5,447例,92%作了尸解。检查全部尸解记录,对肺栓塞病例作了进一步评价,并分析了病例记录。根据上述资料将肺栓塞分成如下三类:
Fatal pulmonary embolism is one of the major causes of death after surgery. In general surgery, if no preventive measures are taken, the rate is 10%. There is evidence that giving prophylactic drugs such as low-dose heparin, dextran or dihydroergotamine in combination with low-dose heparin can reduce the incidence. In this paper, a review was made on the records of autopsy cases in the surgical hospital of Malmo City in Sweden for 30 years, and the retrospective analysis was made on the changes of embolization type after the operation and non-surgical pulmonary embolism. A total of 119,393 hospitalized patients from 1950 to 1980 were hospitalized, with 5,447 deaths and 92% autopsies. Examining all the autopsy records, further evaluating the pulmonary embolism cases and analyzing the case history. According to the above information will be divided into three types of pulmonary embolism: