Early diagnosis and treatment of pulmonary embolism in Department of Traumatic Orthopedics / 中国基层医药

ABSTRACT

Objective To analyze the early diagnosis ,treatment methods and effect of pulmonary embolism in Department of Traumatic Orthopedics .Methods From October 2014 to October 2016, 100 patients with pulmonary embolism in trauma department of orthopedics of Datong Coal Group Co three hospital were selected as the research subjects.Combined with the basic data of patients and clinical manifestations ,the early diagnosis and clinical features were summarized.The chronic respiratory questionnaire(CRQ) and quality of life assessment table(QOL) were used to evaluate the respiratory status and living quality of the patients before and after treatment .At the same time, according to the different treatment methods , the effect of simple anticoagulant or combined with thrombolytic was compared.Results Before treatment,the CRQ total score,QOL total score were (5.9 ±1.3) points,(65.78 ± 23.91)points,respectively,which after treatment were (3.1 ±0.7) points,(30.92 ±13.45) points,respectively,the differences were statistically significant ( t =11.931, 20.104, all P <0.05 ).In 100 patients, after treated by anticoagulation alone or combined with anticoagulation and thrombolytic therapy ,there were significantly effective in 54 cases,effective in 33 cases,invalid in 9 cases,and 4 cases died,the total effective rate was 87.00％.The total effective rate of anticoagulant therapy was 81.58％,which of anticoagulation combined with thrombolytic therapy was 90.32％,the difference was not statistically significant (χ2 =1.593,P>0.05).Conclusion In the perioperative period of Department of Traumatic Orthopedics , pulmonary embolism should be timely diagnosed , and reasonable treatment can improve the respiratory function and life quality of patients ,anticoagulation combined with thrombolytic therapy can improve the efficacy.