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创伤性原发性肺血栓症:一个独特的临床实体的损伤和治疗模式
Jovana Momic1, Laura Allen2, Kelly Vogt2
1From the Division of General Surgery, London Health Sciences Centre, London, Ont. (Momic, Allen, Vogt, Moffat) and the Department of Radiology, London Health Sciences Centre, London, Ont. (Wiseman) jmomic@uwo.ca.
概括
创伤后的肺血栓可能不是源于深静脉血栓 (DVT). 在创伤患者中早期识别肺血栓表明一个独特的临床实体,挑战传统观点.
科学领域:
- 创伤护理的护理人员.
- 血管医学是一种血管医学.
- 放射学 放射学是一门学科.
背景情况:
- 创伤后的肺血栓传统上归因于深静脉血栓 (DVT) 栓塞.
- 在创伤复苏中,计算机断层扫描 (CT) 显示肺血栓,这表明原发性肺血栓症是一个独立的实体.
- 这项研究调查了创伤后立即发现的肺血栓,相关的伤害和治疗方法.
研究的目的:
- 在创伤后立即诊断出肺血栓的病例.
- 描述与早期肺血栓形成相关的损伤模式.
- 分析原发性肺血栓症患者的治疗方法和结果.
主要方法:
- 加拿大一级创伤中心创伤和放射学登记册的回顾性审查 (2010年1月 - 2021年4月).
- 查看图表,以在初始CT扫描中识别肺血栓患者.
- 对患者人口统计学,损伤机制,损伤总结,治疗方法和结果的分析.
主要成果:
- 包括24名患者 (平均年龄54岁) 患有重创伤 (平均伤害严重性得分为23.5).
- 常见的伤害包括肋骨骨折 (46%),肺血胸 (29%) 和脊柱骨折 (33%).
- 10名患者患有原发性肺血栓,没有并发性DVT; 5名患者 (21%) 死亡.
结论:
- 在创伤中早期的肺血栓与胸部受伤有关,并且经常发生在没有DVT的情况下.
- 这些发现挑战了传统的观点,认为DVT是创伤后肺血栓形成的唯一原因.
- 初级肺血栓似乎是创伤患者的一个独特的临床实体.
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