Rp.51 Clinical Signs Of Pulmonary Embolism

C. Pogonidis1, E. Xenodohidoy1, L. Borgi2, I. Christodoulou3, O. Koytsogiannis4
1 Health centre of Iasmos, Rodopi, Xanthi, Greece
2 General Hospital of Komotini, Trace, Greece
3 General Hospital Papanikolaou ,Thessaloniki, Greece, Thessaloniki, Greece
4 Health centre of Iasmos, Rodopi, Komotini, Greece
Of this study is to outline fundamental clinical factors in the early detection of pulmonary embolism.
Material and Methods.
This is a retrospective study that refers to the past 5 years and to patients of the Peripheral Health centre of Iasmos. In total, 13 men and 12 women, 56 ± 18 years old, were examined in our Health centre and were transported to Komotini Hospital for probable pulmonary embolism. Clinical diagnosis was based in clinical findings and was confirmed in Hospital for 23 patients. Acute respiratory failure symptoms were present in all cases, while chest pain was present in 9 cases. ECG and oxygenation abnormalities were studied.
ECG abnormalities were present in 19 patients. Hypoxaemia was diagnosed in 12 patients. Mitral valve insufficiency was known from the medical history of 8 patients, 6 men and 2 women. In total, 8 patients had a history of surgical operation in the previous 2 months. Fractures were present in 3 patients, venous thrombosis in 8 patients. Interestingly, one patient suffered from the acute rupture of a pulmonary echinococcus cyst as it was proved when he was transported to the Hospital.
The early detection of pulmonary embolism clinical signs is of crucial importance for the final prognosis. Medical history, clinical examination, ECG and oxygenation control are adequate markers for a rapid transportation to the Hospital. X-Rays findings are usually atypical.