Efforts to improve the perioperative diagnosis of acute pulmonary embolism awareness.docVIP

 PAGE \* MERGEFORMAT 4 Efforts to improve the perioperative diagnosis of acute pulmonary embolism awareness First, the concept of thrombotic pulmonary embolism is emboli or other nature (such as gas, amniotic fluid, fat), cis-blocked pulmonary blood flow results. The vast majority of pulmonary embolism embolus from deep vein thrombosis (DVT), can be both collectively known as venous thromboembolism. Must not be referred to as pulmonary embolism pulmonary embolism, or pulmonary infarction, as a result of pulmonary infarction in lung tissue ischemia and necrosis results. There is a dual blood supply to lung tissue, in addition to pulmonary artery, there are bronchial artery blood supply, if the patient had no heart, lung disease, pulmonary embolism is rarely pure pulmonary infarction. Second, the incidence of pulmonary embolism pulmonary embolism morbidity and mortality rate is very high, the United States occur each year as new pulmonary embolism 65万人. Cardiovascular disease accounted for the third place, after coronary heart disease, high blood pressure, the domestic is still a lack of information in this regard, in the past have always thought that my PE rare, this view long hampered the prevention and treatment of PE in our country and research, but more and more Data showed PE in our country are not uncommon. To be sure, however, its prevalence is far higher than the current diagnostic level. National autopsy data indicate that, PE accounted for 4% of the total number of autopsy -11%. Beijing Fu Wai Hospital data show that in China the same high incidence of pulmonary embolism. Third, the rate of misdiagnosis reported in PE, according to Moser 1992 The misdiagnosis rate was 70%, the material shows the United States reported rate of misdiagnosis was 67% ~ 73%, domestic Fu Wai Hospital and the Sino-Japanese Friendship Hospital reports were 79% and 82.9% . 4, misdiagnosed diseases are mainly coronary heart disease, myocardial infarction, pneumonia, chronic ob