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KMID : 0357019960120010097
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Journal of the Korean Vascular Surgery Society
1996 Volume.12 No. 1 p.97 ~ p.105
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Clinical Experiences of Pulmonary Embolism Associated with Deep Vein Thrombosis
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Abstract
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Most current articles on venous thromboembolism begin with the statement that pulmonary emblolism(PE) is a common problem and remains a significant cause of mortality in the vestern countries in spite of recent development in diagnostic and
therapeutic
mordality. In korea clinically apparant PE was reported infrequently probably due to rare incidence and small mumber of autopsy.
Authors evaluated clinical symptoms, diagnostic modality and therapeutic results of clinical PE which was associated with Deep Vein Throbosis(DVT) in 6 cases at Department of Surgery, Yeungnam University Hospital. For diagnosis of PE, chest
x-ray,
EKG,
lung perfusion scan and pulmonary angiography were performed and reviewed literatures.
Mean age was 41.5 years old with range of 21~64. Male to female ratio was 3 : 3 and mean hospital stay was 29 days. EKG and chest abnormality were found in 3 cases respectively. According to classification of lung perfusion scan in PE, moderate
probability in 5 cases and intermediate probability in 1 case were noted. Treatment modalities were heparin and coumadin in all cases, Inferior Vena Cava(IVC) plication in 1 case of recurrent PE, and IVC ligation in 1 case of septic PE. All
patients
were recovered without any complication. In conclusion, although incidence of PE associated with DVT is uncertain and rare in korea, major concern and meticulous inspection are required to detect PE and to decrease morality.
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KEYWORD
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