肺栓塞-深静脉血栓形成-首都医大王辰.ppt

肺栓塞肺栓塞--深静脉血栓形成深静脉血栓形成的研究现状与展望的研究现状与展望首都医科大学附属北京朝阳医院首都医科大学附属北京朝阳医院北京呼吸疾病研究所北京呼吸疾病研究所王王辰辰静脉血栓栓塞症静脉血栓栓塞症((Venous Venous thromboembolismthromboembolism,,VTEVTE))肺血栓栓塞症(肺血栓栓塞症(Pulmonary Pulmonary thromboembolismthromboembolism,,PTEPTE))深静脉血栓形成(深静脉血栓形成(Deep venous thrombosisDeep venous thrombosis,,DVTDVT))??VTE = PTE + DVTVTE = PTE + DVT??DVTDVT与与PTEPTE在发病上的一致性在发病上的一致性————同一疾病在不同阶段、不同部位的表现同一疾病在不同阶段、不同部位的表现肺栓塞肺栓塞--深静脉血栓形成深静脉血栓形成————一个需要整体理解的概念一个需要整体理解的概念Pulmonary embolism in USA (annual) Pulmonary embolism in USA (annual) ?? Prevalence Prevalence::650 000 cases annually650 000 cases annually((1 in 418 or %1 in 418 or %)) per 1 000 per 1 000 hospitalisedhospitalised post-operative patients post-operative patients?? Death Death::90009000?? Hospitalizations Hospitalizations::90 000 90 000 ?? Society statistics for Pulmonary embolism Society statistics for Pulmonary embolism((NHLBINHLBI))((Patient Safety in American Hospitals, Health Grades 2004Patient Safety in American Hospitals, Health Grades 2004))肺栓塞肺栓塞--深静脉血栓形成深静脉血栓形成————一个不容忽视的国际性医疗保健问题一个不容忽视的国际性医疗保健问题?? Pulmonary embolism in England (annual) Pulmonary embolism in England (annual) Prevalence Prevalence:: 23 699 23 699((%%)) 66% required hospital admission 66% required hospital admission 91% required emergency hospital admission 91% required emergency hospital admission days the mean length of stay in hospitals days the mean length of stay in hospitals Death rate Death rate:: 6% ~ 15% 6% ~ 15% Cohort study: 814 patient 1st week death 7% Cohort study: 814 patient 1st week death 7% 1st month 13% 1st month 13%,,3rd months18%3rd months18%?? Hospital Episode Statistics, Department of Health, Hospital Episode Statistics, Department of Health, ?? England, England,((2002-032002-03)) BTS guideline 2003 BTS gu