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Postoperative Pulmonary Embolism after the Prevention of Deep Vein Thrombosis Yoshinao Uematsu 1 , Hisayuki Oikawa 1 , Kenji Sato 1 , Masahiko Kuwahara 1 , Toru Yamamoto 1 , Hideyuki Muranaka 1 , Takanori Iriuchishima 1 , Makoto Taniguchi 1 , Toru Asai 1 , Ryoichi Yamazaki 2 , Takeshi Tsukamoto 2 1Department of Orthopaedic Surgery, Kawaguchi Medical Center 2Department of Emergency Medicine, Kawaguchi Medical Center Keyword: deep vein thrombosis , 深部静脈血栓症 , postoperative pulmonary embolism , 術後肺塞栓症 , D-Dimer , Dダイマー pp.661-667
Published Date 2006/6/1
DOI https://doi.org/10.11477/mf.1408100331
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 To prevent postoperative pulmonary embolism, hospital policy has focused on the prevention of deep venous thrombosis (DVT), based on the 2004 version of the Pulmonary Infarction Prevention Guidelines. In this study, we examined nine cases of postoperative pulmonary infarction (PI) developing after preventive measures against postoperative DVT had been taken. Our results showed that the preventive measures proposed by the guidelines produced specific effects, particularly for degenerative diseases, but that pulmonary embolism was unavoidable, even with preventive measures in some trauma cases. Treatment on the first day after the onset of symptoms was particularly important in the management of postoperative DVT and PI, and careful monitoring was required until the third day after onset. Among the preoperative risk factors, a history of multiple surgeries was important. Patients with traumatic injuries who had undergone direct traction were particularly at risk for DVT.


Copyright © 2006, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1286 印刷版ISSN 0557-0433 医学書院

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