肺血栓栓塞症的诊断和治疗幻灯片.pptVIP

肺血栓栓塞症的诊断和治疗;肺血栓栓塞症相关名词及定义;脂肪栓塞(fat embolism syndrome,FES);Fat embolism in a 58-year-old woman who presented with sudden dyspnea. The patient had undergone intramuscular injection of some fatty materials into the buttock several days earlier. ;(b) Thin-section (1-mm collimation) CT scan obtained at the level of the aortic arch shows widespread patchy ground-glass attenuation and consolidation. ;羊水栓塞(amniotic fluid embolism,AFE);? (a) Radiograph shows bilateral widespread airspace consolidation. Endotracheal intubation was performed. ;(b) On a follow-up radiograph obtained 3 days later, the extent of the parenchymal areas of increased opacity has decreased. A chest tube was inserted into the right pleural space to relieve the right pleural effusion.;DVT-PTE的流行病学;Table —Risk Factors for VTE Surgery Trauma (major or lower extremity) Immobility, paresis Malignancy Cancer therapy (hormonal, chemotherapy, or radiotherapy) Previous VTE Increasing age Pregnancy and the postpartum period Estrogen-containing oral contraception or hormone replacement therapy Selective estrogen receptor modulators Acute medical illness Heart or respiratory failure Inflammatory bowel disease Nephrotic syndrome Myeloproliferative disorders Paroxysmal nocturnal hemoglobinuria Obesity Smoking Varicose veins Central venous catheterization Inherited or acquired thrombophilia;Table —Absolute Risk of DVT in Hospitalized Patients* Patient Group DVT Prevalence, % Medical patients 10–20 General surgery 15–40 Major gynecologic surgery 15–40 Major urologic surgery 15–40 Neurosurgery 15–40 Stroke 20–50 Hip or knee arthroplasty, hip fracture surgery 40–60 Major trauma