20 cases of pulmonary thromboembolism in patients with pathological analysis of sudden death.docVIP

 PAGE \* MERGEFORMAT 12 20 cases of pulmonary thromboembolism in patients with pathological analysis of sudden death [Keywords:] Pulmonary embolism; pulmonary artery; sudden death; Pathology Pulmonary Embolism (PTE) is a systemic embolus formation in the venous system, fall off, and with the blood flow into the etiology of obstructive pulmonary system is a group of diseases or clinical syndromes, collectively, is a clinically common cause of sudden cardiac death, In cardiovascular disease ranked second only to coronary heart disease and hypertension in 3, up to 15% mortality (1). to the most common thrombosis, abrupt onset of the disease, sudden death. antemortem diagnosis of patients with low accuracy rate, the rate of misdiagnosis up to 80% or more, if the clinical diagnosis can be, but the time from onset to death was too short, difficult first-aid success, without treatment mortality can be as high as 20% -30%. lower extremity deep vein thrombosis (DVT) is the PTE’s signs, physical examination shows asymmetry of lower limbs edema, deep vein area tenderness, superficial varicose veins, skin pigmentation, stiffness, and so on. great common cause of PTE is one of sudden death, often secondary to prolonged bed rest or surgery, with the continuous improvement of diagnostic techniques, the detection rate on the rise, a clear diagnosis and mortality after active treatment can be reduced to 2% to 8%. PTE this retrospective analysis of 20 cases of sudden death in the autopsy diagnosis of the clinical data are reported as follows . 1 Materials and Methods 1.1 The clinical data in our hospital from 2000 to 2009 PTE routine autopsy of 20 cases of sudden death diagnosis, including 15 males and 5 females, aged 22 to 80 (mean 54 years), peak age 50 to 80 years 13 cases, accounting for 65%. PTE 20 cases found in the various diseases, among which the most common cardiovascular disease secondary to the other with pneumonia, chronic obstructive pulmonary disease,