Publications (2)0 Total impact
Article: [Prevalence and incidence of deep venous thrombosis among patients in medical intensive care unit].[show abstract] [hide abstract]
ABSTRACT: A cross-sectional study was carried out to observe the prevalence, incidence and risk factors of deep venous thrombosis (DVT) in patients from intensive care unit (ICU). Patients who were admitted to respiratory intensive care unit (RICU) and emergency intensive care unit (EICU) of Beijing Chaoyang Hospital and Beijing Anzhen Hospital were screened in our study. All patients enrolled underwent compression ultrasonography (CUS) within 48 h upon their admission to the ICUs. CUS was re-performed at 10 - 14 day, or when leaving ICU or at the time patients developed signs and symptoms (pain, heat, redness, edema) of DVT. Risk factors which were presumed associated with DVT were recorded. The main identified outcome was the presence of DVT. The secondary outcome was pulmonary thromboembolism (PTE). DVT was found in 30 patients of 252 patients within 48 h (11.90%). One hundred seventy-two patients were performed CUS two times or more. 26 patients (15.12%) had DVT. D-dimer, history of operation, kidney failure appeared to be independent risk factors for DVT in ICU patients. 13 patients were suspected PTE and 3 patients diagnosed as PTE. ICU doctors should pay more attention to DVT, which is relatively common in ICU patients.Zhonghua liu xing bing xue za zhi = Zhonghua liuxingbingxue zazhi 11/2008; 29(10):1034-7.
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ABSTRACT: To investigate the differential diagnosis of pulmonary thromboembolism in emergency in order to increase the correct diagnosis rate of pulmonary thromboembolism. The data of patients who were diagnosed pulmonary thromboembolism in Emergency Intensive Care Center of Anzhen Hospital from January 2000 to the end of August 2003 were analyzed. Patients were divided into two groups. One group of patients with pulmonary thromboembolism were diagnosed pneumonia, heart disease and cerebrovascular disease. The other group of patients were not pulmonary thromboembolism and were misdiagnosed. Five patients with pulmonary thromboembolism were diagnosed pneumonia, 7 and 3 patients were diagnosed heart disease and cerebrovascular disease, respectively. In the other group, 4 patients with lung or mediastinal tumors, 2 with pneumonia and 1 with bronchiectasis were diagnosed pulmonary thromboembolism. It is essential to correctly diagnose pulmonary thromboembolism, especially emergency physicians should master diagnosis method of pulmonary thromboembolism and reduce the rate missed of diagnosis.Zhongguo wei zhong bing ji jiu yi xue = Chinese critical care medicine = Zhongguo weizhongbing jijiuyixue 09/2004; 16(8):464-7.