Journal of International Obstetrics and Gynecology ›› 2018, Vol. 45 ›› Issue (5): 596-600.

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Two Cases of Pulmonary Embolism in Patients with Gynecological Diseases and Review of the Literature

XIE Bao-li   

  1. Department of Gynecology,The First People′s Hospital of Nanning,Nanning 530022,China
  • Received:2018-05-11 Revised:2018-08-15 Published:2018-10-15 Online:2018-10-18

Abstract: Pulmonary embolism is one of the rare and dangerous diseases in clinic. The rate of missed diagnosis and misdiagnosis is very high. The clinical manifestations of pulmonary embolism are lack of typical specificity, mild patients can be completely asymptomatic, while severe patients can die of sudden death once they become ill. The clinical manifestation and severity of pulmonary embolism are determined by the size and quantity of embolus, the location of embolism and the presence of heart, lung and other basic diseases. Common risk factors for pulmonary embolism include sedentary intolerance (such as prolonged bed rest and long driving), lower limb fractures, major surgery, a history of venous thromboembolism, malignancies, and oral contraceptives. The clinicians should learn to recognize the high risk factors of pulmonary embolism. Patients with gynecological diseases with high risk factors should be alert to the possibility of pulmonary embolism once they have unexplained symptoms or clinical manifestations of pulmonary embolism. Early diagnosis and thrombolytic therapy are the key to successful rescue.

Key words: Genital diseases, female, Pulmonary embolism, Venous thrombosis, Early diagnosis, Therapy