In previous communications from the staff of the Massachusetts General Hospital we have indicated that we are confronted with a serious problem concerning venous thrombosis with resulting pulmonary embolism.
Hampton and Castleman1 have shown that infarcts to the lungs are easily interpreted by roentgenographic studies. Many of the postoperative pulmonary sequelae, previously attributed to other causes, are embolic in origin. Castleman,2 from autopsy studies, has found the source of pulmonary embolus in our clinic to be from the deep veins of the legs in approximately 95 per cent of the cases.
Miller and Rogers3 in earlier studies recognized the importance of this syndrome in our clinic. Data collected by Davis4 prior to 1925 showed that 3 patients in each thousand subjected to major surgical procedures succumbed to pulmonary embolism. Methods to prevent venous stasis by posture, combined with early passive and active exercise, reduced the incidence
ALLEN AW, LINTON RR, DONALDSON GA. VENOUS THROMBOSIS AND PULMONARY EMBOLISM: FURTHER EXPERIENCE WITH THROMBECTOMY AND FEMORAL VEIN INTERRUPTION. JAMA. 1945;128(6):397–403. doi:10.1001/jama.1945.02860230001001
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: