作者
Jeffrey L Carson, Mark A Kelley, Amy Duff, John G Weg, William J Fulkerson, Harold I Palevsky, J Sanford Schwartz, B Taylor Thompson, John Popovich Jr, Thomas E Hobbins, Margaret A Spera, Abass Alavi, Michael L Terrin
发表日期
1992/5/7
期刊
New England Journal of Medicine
卷号
326
期号
19
页码范围
1240-1245
出版商
Massachusetts Medical Society
简介
Background.
Pulmonary embolism is a potentially fatal disorder. Information about the outcome of clinically recognized pulmonary embolism is sparse, particularly given that new treatments for more seriously ill patients are now available.
Methods.
We prospectively followed 399 patients with pulmonary embolism diagnosed by lung scanning and pulmonary angiography, who were enrolled in a multicenter diagnostic trial. We reviewed all hospitalizations, all new investigations of pulmonary embolism, and all deaths among the patients within one year of diagnosis.
Results.
Of the 399 patients, 375 (94 percent) received treatment for pulmonary embolism, usually conventional anticoagulation. Only 10 patients (2.5 percent) died of pulmonary embolism; 9 of them had clinically suspected recurrent pulmonary embolism. Clinically apparent pulmonary embolism recurred in 33 patients (8.3 percent), of whom 45 percent …
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JL Carson, MA Kelley, A Duff, JG Weg, WJ Fulkerson… - New England Journal of Medicine, 1992