Experience Of Diagnosis And Treatment Of Burned Trauma Combined With Pulmonary Embolism In 17 Cases

Objective:Analyze the clinical features and risk factors of burning trauma and pulmonary embolism in our hospital,and deepen the understanding of burning trauma patients with pulmonary embolism,so as to reduce the possibility of burning and traumatic patients with pulmonary embolism,and improve the cure rate.Methods:Collected data on 17 patients with burns and trauma complicated with pulmonary embolism treated in our hospital from January 2013 to March 2018.We analyzed the onset time,clinical signs and symptoms at the time of onset,and plasma D-dimer levels after onset.Content,CT pulmonary angiography(CTPA)test results,according to the possibility of pulmonary embolism,Geneva score and Wells score to give patients the risk degree classification,and to count the presence of patients with pulmonary embolism risk factors,to find the existence of patients with the maximum risk factors.Result:Of the 17 patients,15 cases occurred within 28 days after injury,accounting for 88.2%,of which 8 cases occurred after 14 days of injury.The most common symptoms at the time of onset were dyspnea,chest tightness,and chest pain.They accounted for The proportions were 70.6%,35.2%,and 17.6%,respectively;plasma D-dimer >500 ? g/L accounted for 94.1%;17 patients underwent CT pulmonary angiography and all showed direct or indirect signs of pulmonary embolism;17 patients Among the 15 patients who received anticoagulation or thrombolytic therapy,2 patients died,15 patients recovered,the cure rate was 88.2%;17 patients all had at least 3 pulmonary embolism-related risk factors,the largest evoked factor was fracture or major trauma.Conclusions:There are many risk factors for pulmonary embolism in patients with burned trauma.Fractures and major trauma are the most predisposing factors.The early symptoms of pulmonary embolism lack specificity.Prevention is the key measure to prevent and treat pulmonary embolism.Burn patients are required to actively monitor the possibility of venous thromboembolism within28 days of the hospitalization of trauma patients.Routine venous ultrasonography of the lower extremities is performed regularly,and the sudden symptoms of suspected pulmonary embolism are highly vigilantly monitored,and plasma D-dimer and CTPA examinations are promptly improved.diagnosis.after the diagnosis,according to the guidelines to give patients early standardized treatment,can improve the cure rate.