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 Wysłany: Nie 4:28, 06 Mar 2011 Temat postu: tory burch reva btn lcn utb ntu |
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The diagnosis of pulmonary embolism new concept of procedural
bolism [J]. ArchInternMed, 2OO2 ,162:747-756 .8 MarekeJHA, KnfipMD, MoniqueGLDiagnosticstrategiesforexclu-dingpulmonary ∞ 1bIinclinicaloutcomestudies [J]. AnnInternMed, 2003,[link widoczny dla zalogowanych],138 (12) :941-951 .9 OliverTB, ReidJH, MurchisonJrr. InterventricularseptalshiftduetomassivepulmonaryembolismshownbyCTpuhnonaryangiography: anoldsignrevisited [J]. Thorax ,1998,53:1092-1094 .10 MussetD, ParentF, MeyerG, eta1. Diagnosticstrategyforpatientswithsuspectedpulmonaryembolism: aProspectivemuhiceteroutcomestudy [J]. Lancet ,2002,[link widoczny dla zalogowanych],360:1914-1920 .1 l Wang Chen. Pulmonary embolism [M]. Beijing: People's Medical Publishing House, 2003: l1.12PeterF, FedulloMD, VictorF. Theevaluationofsuspectedpulmona-ryembolism [J]. NEJM ,2003,349:1247-1256. Non-thrombotic pulmonary embolism Cheng Zhaozhong Key words pulmonary embolism, non-thrombotic; diagnosis; treatment 【Key Words】 R563.5 Document code】 【A】 【Article ID 1008-9571 (-04 pulmonary embolism (pulmonaryembolism,[link widoczny dla zalogowanych], PE) is the result of a variety of endogenous or exogenous obstructive pulmonary emboli in the pulmonary circulation system disorder caused by the pathophysiology of clinical syndromes, the occurrence of pulmonary hemorrhage or necrosis called pulmonary infarction. Clinical findings of the main types of pulmonary embolus thrombosis, known as pulmonary thromboembolism (pulmonarythromboem.bolism, P, rE). Also can still see the non-thrombotic emboli,[link widoczny dla zalogowanych], such as fat, amniotic fluid, air, foreign bodies, etc., collectively referred to as non-thrombotic pulmonary embolism, and their etiology, clinical course different, but also from a general treatment of thrombotic pulmonary embolism, should note the difference. The following types were described by emboli. Division Author: 266003, Qingdao, Shandong Province, Qingdao University Medical College Hospital breathing a fat embolism (fasembolism) is a pathological diagnosis of fat embolism term refers to the fat droplets into the circulation of a state,[link widoczny dla zalogowanych], with or without clinical manifestations. Fat embolism syndrome (fateratmlisnmsyndrome, FES) refers to the diameter of fat droplets 10-40 headland into the circulation and lead to a series of signs and symptoms of clinical syndrome. Fat embolism and fat embolism syndrome are two different concepts. 9o% of the long bone fractures and hip and knee replacement patients have a fat embolism, but only a few people happen FES. FES is a result of fat embolism, the incidence was significantly lower than fat embolism. A lower incidence of child FES because of the different components of bone marrow, bone marrow and oleic acid content of less, and stearic acid glycerol ester of soft fat content and addition, bone marrow and hematopoietic tissue much less fat content. FES showed the typical 24-48h after injury occurs within the non-chest trauma caused by shortness of breath, difficulty breathing and other pulmonary symptoms; non-traumatic brain injury caused by headache, irritability, drowsiness, convulsions or coma and other symptoms of varying severity of brain and distribution of parts of non-sagging skin, mucous membrane ecchymosis and other triad, fulminant than 50% mortality, attention should be paid. 1.1 FES etiology and pathology more common in severe trauma or fracture, especially in long bones (such as the femoral shaft fracture) or pelvis, multiple fractures, severe contusions, crush injuries result in a large area of adipose tissue injury and chest compression during cardiopulmonary resuscitation injury and other debris caused by the bone marrow or fat particles into the venous flow through the right heart into the lungs due to small arteries or capillaries. Combined abdominoplasty liposuction had occurred in FES
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