2022 Volume 70 Issue 6 Pages 383-389
Pulmonary thromboembolism (PTE) after surgery is a life-threating event, so detecting PTE and deep vein thrombosis (DVT) is very important. We check plasma concentration of soluble fibrin (SF) and D-dimer in a protocol designed to detect PTE and DVT after respiratory surgery. To examine the usefulness of this protocol, we studied the detection rate of postoperative DVT/PTE in 237 patients who received the protocol between March 2020 and March 2021. Among 237 patients, 25 were detected as suspected postoperative DVT/PTE in accordance with the protocol and, out of those 25, 12 patients actually had DVT/PTE (enhanced computed tomography 7/13 54％, ultrasonography 5/12 41％). The frequency is relatively high and the result suggests that our postoperative DVT/PTE detecting protocol may be potentialy useful.
