Prevention of Thromboembolism in the Non-surgical Patient

摘要: As stated earlier, pulmonary embolism is becoming a leading cause of death. It essentially hospital-based patient problem8,10, being not only postoperative phenomenon, but common death in variety other illnesses for which patients are hospitalized. extremely difficult to determine how many deaths attributable this problem, as most recorded certificates very unreliable, especially where autopsies performed. Usually, when sudden occurs, the hospitalized who has been autopsied, it listed cardiac reality may be caused by embolism. When an autopsy performed much also depends on pathologist and his thoroughness searching possible emboli, either at table or later upon microscopic examination lung sections. The usually quoted estimate number United States 47 000 annually7, figure based rate noted autopsy; however, reported incidence varies widely from 6 64%. author19 61%. Thromboemboli, vary greatly size, often they sole death, association with debilitating illnesses. Many survive episode embolism, these together fatal cases have roughly estimated well over 200 annually8,10,11. Pulmonary occurs elderly, immobilized individuals, frequent complication survives myocardial infarction6,12,13,22,23. In situation mistaken second infarction -the two differentiate clinically. ranges 25 35%. congestive heart failure, infections such septicaemia, pneumonia bacterial endocarditis5,16,17,21; malignancies, causing premature some frequency post-partum period women Pill.