Tuesday afternoon, I participated in the Chinese Medical Association 2009 - thromboembolic disease prevention and control work of the Committee meeting, I attended 3-4 times in a row that the annual meeting of the Chinese Medical Association set up the multi-disciplinary committee has been 6 years, the Director China Academy of Engineering, Fu Wai Hospital, Professor Gao Runlin former President. This is a high-level multi-disciplinary committee of experts, as heavy snow, some foreign experts failed to arrive in Beijing, but the experts attending today's meeting is still more than a professional from influential experts, they are 301 former director Professor Pan Changyu Endocrinology, Union Hospital, Professor Liu Dawei, director of Vascular Surgery, Cardiology Professor Yan Xiaowei, and Professor Zhang Shuyang, Professor Lu Weixuan Department of Respiratory Medicine, Department of Neurology, Beijing Military General Hospital, Director, Professor Zhang Weiwei , Ahn Jung hospital epidemiologist Professor Zhao Dong, Harbin Institute of Oncology of Professor Ma Jun, the Guangdong Provincial People's Hospital Cardiology Professor Chen Jiyan, the First Affiliated Hospital of Guangzhou Medical College Department of Orthopaedics Professor Yu Nansheng, Professor Sun Xuefeng Nephrology 301 Hospital, Beijing Associate Professor of Cardiology, Shi Xubo Tongren Hospital, Beijing Chaoyang Hospital Respiratory Professor Xie Wanmu, director of the Navy General Hospital, Department of Neurology, Professor Qi. Chinese Medical Qi Guoming, vice president spoke at the meeting.
Why is this how many experts and the Chinese Medical Association is so concerned about the thromboembolism, because it is increasingly common cause of disability of death, especially in hospitalized patients, patients died after surgery because of disability. in our midst there are many such examples. Beijing, a large hospital HOME long is because the lungs and pulmonary embolism after surgery died. the old hospital is the Dean of one of China's largest hospital, the patient I have a Central Committee alternate members, the hospital will certainly attach great importance to this patient's treatment, medical conditions and extremely Yes, but they can not save the lives of patients. the recent attention on the Internet by users of concern to the whole society of Cardiology, Professor of Peking University First Hospital, after the sudden death of orthopedic surgery, also owing to pulmonary embolism. I have seen many patients because of pulmonary embolism and death. For example, a 74-year-old male, for gallstones and hernia admitted to surgery, two procedures simultaneously, bedridden patients after surgery, the doctor asked defecation in bed, but it is not used in patients in bed urine. Two days after surgery, the patient barely stand to urinate suddenly Rotary bed fell to the ground, breathing stops. rescue process lung CT confirmed pulmonary infarction and electrocardiogram. The blood glucose before surgery patients were greater than 8 mmol / liter. Another a diabetic foot ulcer patients from overseas to Beijing, after examination, lower extremity arterial occlusive thrombosis caused by foot ulcers combined, after thrombectomy surgery, significantly reduced pain in patients with lower limb skin temperature was significantly improved, satisfied patients and their families for the surgery. Unfortunately, the patient in the middle of the night after 3 sudden pulmonary embolism world, He died to death.
So, what is pulmonary embolism, and why pulmonary embolism after surgery prone to it? what kind of pulmonary embolism were more likely to what?
pulmonary embolism is pulmonary vein thrombosis, as well as part of the blood flow interruption or sharp decline, causing partial lung tissue necrosis. generally comes from deep vein thrombosis. surgery patients are often in a fixed state, lower limb blood flow is slow, the blood stasis, if the patient has diabetes mellitus, hypertension, dyslipidemia and blood viscosity state, together with the original basis of atherosclerosis in patients with vascular wall endothelial cells and damage to the vessel wall is not smooth, so easy to form clots . thrombus attached to the vessel wall, is unstable. Once a patient get out of bed, thrombosis is easy to fall off, along the blood flow to return to the pulmonary blood vessels. Once the blocked pulmonary artery thrombosis, can lead to pulmonary infarction.
pulmonary infarction is a very dangerous disease, the mortality rate is very high. embolism mortality in the United States ranked second only to malignant tumors and myocardial infarction 3, at least 65 million people died of pulmonary embolism each year. UK annual incidence rate was 60 - 70/100 million, the annual mortality rate of 100/1000 million. embolism incidence of sudden, rapid progress, according to U.S. data, in patients with pulmonary embolism in patients with nearly one-tenth of 1 hour in the incidence of death, the remaining one-third of patients have mortality. but also because of this, some patients died because of pulmonary embolism families often do not understand why a patient hospitalized for a routine surgery, and sudden death in such a disease. Therefore, because the pulmonary embolism caused by medical malpractice or even Duibu Many courts also.
our previous understanding of this disease is not enough attention is not enough. In recent years, including pulmonary thromboembolic disease, including more and more attention to the relevant professional. National Science and Technology First Five said: prevention, early release and early treatment. This is an expert talk. Zhong Nanshan, president of not only the president, is a professor of respiratory medicine and academicians.
what kind of patients prone to pulmonary embolism? easy populations, including pulmonary embolism: bedridden patients after surgery, especially in elderly patients after major orthopedic surgery; cancer, diabetes, cardiovascular disease, lower extremity vascular disease, blood diseases; severe infection. preventive measures response to these high-risk groups, given anticoagulant antiplatelet therapy. So, I remind our diabetic patients, you are at high risk of pulmonary embolism patients, once the surgery, the problem needs attention thrombosis. If the operation is in - major surgery, without taboo, should take the necessary preoperative anticoagulant therapy.
long-distance travel by plane, sat still, some people suddenly stood up and pulmonary embolism occurs, and this is the so-called A year ago, I have seen a case of 40-year-old young cadres, flying a long time, lead to good lower limb thrombosis and pulmonary embolism. Fortunately, the patient's condition is not heavy, the treatment works well. recommended by plane, whichever is longer, a is the water; two walk together is appropriate, activities about lower extremity; Third, if there is high blood sugar, high cholesterol, hypertension and other disease risk factors, could take aspirin. small measures will have a large effect. as far as possible not engage in
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