徳島県における急性肺血栓塞栓の診断と治療の現状 : 徳島肺塞栓研究会による多施設合同研究結果

The purpose of this study was to assess clinical characteristics and short-tern（30 days）prognosis of acute pulmonary embolism（APE）in Tokushima. This study was multicenter registryin Tokushima Pulmonary Embolism Study Group.From October 2005 to September 2007, 43 APE patients were enrolled this study, but we couldanalyze 30 patients（70%）. The mean age of the patients at diagnosis was 70.7±5.3 yrs, male/female was 7/21, mean BMI was 22.4±0.5. The mortality rate at 30 days was 26%（8/30）. Sixpatients died in the first day of admission. The majority of registry patients underwent multisliceCT scans（60%）, while only 16 patients（57.1%）analyzed D-dimmer. Thrombolysis was performedonly 33%, but most of patients（90%）was received anticoagrant therapy. Evaluation ofdeep venous thrombosis was performed 86% by venous ultrasonography. After the diagnosis ofvenous thromboembolism, an inferior vena cava filter was implanted in 40%.This is the first report that demonstrated the current status of APE in Tokushima prefecture.In this study shows poor outcomes of APE patients after admission. We must improve clinicians’awareness of APE, advances in diagnostic modalities and deep venous thrombosis.