[Pulmonary thromboembolism: 5-year data of a multidisciplinary hospital].

The paper presents an analysis of 79 case histories of patients with pulmonary thromboembolism (PTE). PTE is common in the elderly with cardiovascular diseases complicated with circulatory insufficiency. Before admission, 52% were not diagnosed as having PTE. The most frequent symptoms of PTE included dyspnea, tachycardia, grey cyanosis. Recurrent PTE was established in 38% of the cases. The signs SIQIIITIII, S type, ST-segment elevation in the lead VI are more frequently detectable on ECG. The most common X-ray signs are elevation of the diaphragm, vascular stump, Westermark's symptom. Pulmonary scintigraphy that detects multiple and bilateral foci of avascularization and follows up their time course is of great value in the diagnosis of PTE. Hemostatic disorders by the type of disseminated intravascular coagulation make a great contribution to the pathogenesis of PTE.