Clinical analysis of 25 cases of pulmonary thromboembolism complicated with malignant digestive tract tumor

Abstract

Objective To investigate the general clinical features,risk factors,diagnosis,treatment and prognosis of malignant digestive tract tumor complicated with pulmonary embolism.Methods The clinical data of 25 cases of malignant digestive tumors complicated with pulmonary thromboembolism were retrospectively analyzed,and at the same period,25 cases of pulmonary embolism without malignant digestive tract tumor were selected as the control group.Results There was no significant difference in age or gender between case group and control group (P ＞ 0.05).There were significant differences in history of recent surgery and history of varicose veins between case group and control group (P ＜ 0.05).Further multivariate logistic regression analysis showed that,patients with the brake history and history of recent surgery had higher rate of pulmonary thromboembolism.There were significant differences in platelet count and fibrinogen between case group and control group (P ＜ 0.05).After primary treatment,patient in case group had poorer treatment effect and high mortality rate.Concltsions Due to brake operation and tumor factors,malignant digestive tract tumors are prone to be complicated with pulmonary thrombosis,and the treatment effects are poor,the prognosis is bad. Key words: Malignant digestive tract tumor; Pulmonary thromboembolism