Abstract

ACOSTA REYNOSO, Idania M et al. Clinic and Pathologic Analysis of Death Patients with Pulmonary Thromboembolism . CCM [online]. 2014, vol.18, n.4, pp. 636-648. ISSN 1560-4381.

Introduction: thromboembolism   is a common complication in hospitalized patients, with high rates of mortality. Its importance is such that it exceeds necropsy studies to diseases such as pneumonia and lung cancer. Objectives: to determine the clinical pathologic correlation of deaths from pulmonary embolism; the behavior of variables such as age group, sex, symptoms, signs suggestive and more frequent predisposing factors. To determine the size of the pulmonary artery affected and the presence or absence of pulmonary infarction. Methods: a cross-sectional study of the deceased with a presumptive diagnosis of pulmonary embolism from the first of January 2010 until June 30, 2012 at Lucía Iñiguez Landín Clinical Surgical Hospital. A review of autopsy records was performed. Comparison of proportions for independent samples (z) for a value of p <0.05 was used for the analysis of the variables. Results: the female sex was more affected especially at ages older than 60 years. The predominant risk factors were advanced age, heart disease, grounding and major surgery. Dyspnea, tachycardia, pleuritic chest pain, cough and hemoptysis were the main clinical manifestations found. Only in 24 cases the diagnosis of pulmonary embolism (20 %), 19 without pulmonary infarction (15.8 %) confirmed. Median vascular branches were the most affected in 20 cases (16.6 %). Conclusions: clinical and pathologic correlation was low. Pulmonary infarction was confirmed only five deaths.

Keywords : pulmonary thromboembolism; risks factors; dyspnea; infarction.

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