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KMID : 0375219950100010131
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Journal of Il Sin Christian Hospital
1995 Volume.10 No. 1 p.131 ~ p.138
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Clinical Study of Pulmonary Thromboembolism in Pregnant Women
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박영춘
이유의/서성숙/황혜란/한현숙
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Abstract
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Pulmonary embolism is a life threatening disease that needs early and accurate diagnosis. Clinical characteristics were analyzed form the chart record of the patients with pulmonary embolism from January, 1990 to July, 1995.
@ES The results are as follows:
@EN 1. Incidence of pulmonary embolism was 1 in 3715 deliveries(0.03%).
2. Pulmonary embolism was seen most frequently among the age group of less than 30 years of age. Mean age was 26.4 years.
3. The risk factors were postpartum (100%), operation (93.3%), anemia(46.7%), obesity (40.0%), hypertension (33.3%).
4. The common symptoms were chest pain(80.0%), dyspnea(66.7%), and sweating(26.7%). The common physical findings were tachycardia over 100/min(73.3%), tachypnea over 20/min(60.0%), decreasing breathing sound on auscultation(40.0%).
5. Laboratory findings were elevated LDH, leukocytosis, hypoalbuminemia under 3.0mg/dl.
6. The most common EKG findings were sinus tachycardia(66.7%).
7. The chest X-ray showed normal in 53.3% and pleural effusion in 13.3%.
8. The lung perfusion scan showed multiple segmental defects in 46.6%.
9. All cases were treated by heparin and there was no maternal death.
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KEYWORD
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