Tuberc Respir Dis > Volume 31(2); 1984 > Article
Tuberculosis and Respiratory Diseases 1984;31(2):48-56.
DOI: https://doi.org/10.4046/trd.1984.31.2.48    Published online June 1, 1984.
Clinical Study of Pulmonary Embolism(PE)
Woo Sung Kim, Young Soo Shim, Yong Chol Han
Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea
폐동맥색전증의 임상상을 나타 낸 예의 고찰
김우성, 심영수, 한용철
Abstract
The clinical records of 50 cases of, PE at Seoul National University Hospital during the period of April, 1979 to December, 1981 were reviewed. The results are as follows. 1) PE was seen most freguently among the age group of less than 30 years of age (42% ). Male to female ratio was 1 : 1. 1. 2) The sources of emboli were deep veins of lower extremities (28% ), right heart (8% ), pelvic veins (6%) and inferior vena cavae (6%). 3) The identifiable risk factors ₩ ere congestive heart failure (56%), immobility (38% ) and age over 50 years old (26%). 4) The main clinical symptoms were dyspnea (60% ) , chest pain or discomfort (50% ), and hemoptysis (28%). The major physical findings were tachypnea over 16/min (88% ) and elevated body temperature over 37.8℃ (42 %). 5) The serum LDH levels were elevated in 80%. 6) The EKG's of PE shoπed normal in 18% and ST-T abnormalities in 64%. The chest X-ray’s shoπed normal findings in 14% and cardiac enlargement in 60%. 7) The pulmonary perfusion scan findings were bilateral, multiple perfusion defects in 62% and single defect in 12%. 8) The initial therapeutic modalities of PE were intravenous infusion of heparin in 40% (20 cases) which were complicated by the major hemorrhage in 15% (3 cases). 9) The long-term follow-up beyond 6 months was done in 50% (25 cases) which revealed the recurrence of PE in 12% (3 cases). The fatality of this study group during & around hospitalization was 22% (11 cases)and among them, 5 patients probably died of PE.


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