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Korean Journal of Legal Medicine 2003;27(2):45-48.
Published online October 31, 2003.
Pulmonary Thromboembolsm in Legal Autopsy.
Youn Shin Kim, Bong Woo Lee, Jae Kwon Kim, Shin Mong Kang
1National Institute of Scientific Investigation, Seoul, Korea.
2Department of Forensic Medicine, Catholic University Medical School, Seoul, Korea. Kangsm@catholic.ac.kr
Abstract
Pulmonary thromboembolism (PTE) is a significant cause of death in the hospitalized patient in the western and developed countries. The development of PTE and venous thrombi is associated with many and various factors, including that physicians fail to provide adequate prophylaxis to the high risk patients. The authors studied 74 legal autopsy cases performed from 1996 to 2000 at the Headquarters of National Institute of Scientific Investigation, Seoul, Korea. We learned that ceasarian section was the most common precedong trauma in PTE death in legal cases. Excluding Ceasarian section cases, major mechanical injuries, male gender and aging were common factors associated with PTE. Obesity was a common factor in all kinds of trauma. Deep vein thrombi were documented in majority cases and ambulation was a critical triggering cause for the thrombi making PTE. Clinical diagnosis was not so satisfactory.
Key Words: Pulmonary thromboembolism, Deep vein thrombi, Legal autopsy, Ceasarian section, Ambulation, Obesity


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