[Postoperative thrombotic complications within a 50-year period].
24,564 autopsy protocols from the central city hospital and oncology dispensary were analyzed in order to evaluate the rate and dynamics of postoperative thrombotic complications (PTC). The PTC rate was 14.89% and went up two-fold within the recent 20 years. The rate of pulmonary thromboembolism (PTE) was 10.13%; it increased during the recent 20 years from 6.75% to 17.30%. No significant difference was registered between the PTE rates in oncology and other patients (16.01% and 14.10%, respectively). Pelvic vein thrombosis was defined as a source of PTE in 50.11% of cases; deep vein thrombosis was found only in 28.54% of cases. The rate of the in-life PTE diagnosis was 42.8%. Despite refinements and standardization related with the use of anticoagulants, prevention and PTC management, the discussed phenomenon still remains a crucial issue for practitioners.
S A
SA
Shaposhnikov
V N
VN
Chernov
I B
IB
Zabolotskikh
D005260:Female; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D013223:Statistics as Topic; D013923:Thromboembolism / Q000453:epidemiology / Q000209:etiology*; D020246:Venous Thrombosis / Q000453:epidemiology / Q000209:etiology*