[Studies on the production of pulmonary infarction--especially from the aspect of tissue fibrinolytic activity in the experimental rabbit pulmonary embolism].
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The results are reported from a retrospective study on the case histories of 41 deceased with recurrent infarction form of pulmonary thrombembolism. That form of the disease for a period of 5 years (1980-1984) was established to be found in 19.1% of all cases with pulmonary thrombembolism. The males were more often affected, with the predomination of the patients over 60 years of age; the patients with internal diseases were more than the surgical patients, with a probable origin of emboli from the femoral and pelvic veins in 58.5%. The most frequent clinical symptoms are dyspnea, tumid cervical veins and moist rales in the lungs. More than half of the patients manifest "masks" of the disease, broncho-pulmonary being the most-often established one.
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The prognosis of patients should influence diagnostic and therapeutic measurements. For this reason the survival time is shown of 516 patients with acute myocardial infarction, 200 patients with pulmonary edema, 553 patients in which resuscitation had become necessary and 201 with life-threatening infections. The survival time is correlated to clinical signs easily obtainable on admission. Small groups can be selected which with a high degree of probability will die during their stay in hospital. Intensive therapy should be withheld from those patients. But prognostic indices without the probability of error cannot yet be constructed.