摘要
目的 分析58例急性肺栓塞的临床特点及疗效,提高临床医生对急性肺栓塞的认识及诊治水平.方法 选择2004年至2009年11月我院和山西省阳泉市第一人民医院住院的急性肺栓塞患者58例,回顾性分析这些患者的临床表现及辅助检查、治疗方法及疗效,并进行总结归纳.结果 急性肺栓塞临床表现多样,缺乏特异性,可轻可重;检查手段有心电图、X线胸片、动脉血气分析、D2聚体、彩超、放射性核素肺通气/灌注扫描、肺动脉螺旋CT造影等.放射性核素肺通气/灌注扫描、肺动脉螺旋CT造影的特异性及灵敏度最高,溶栓治疗较单纯抗凝治疗效果更好.结论 急性肺栓塞临床谱广,表现多样,辅助检查手段多为非特异性,容易误诊、漏诊.治疗方法影响预后.
Objective To analyze the clinical characteristics and curative effects of 58 cases of acute pulmonary embolism, and then enhance the understanding and curative ability of acute pulmonary embolism. Methods 58 cases with acute pulmonary embolism in our hospital and Shanxi Yangquan People＇s Hospital were selected from 2004 to Nov 2009. The clinical manifestation, accessory examination, therapy methods and effects were retrospectively analyzed. Results The clinical manifestation in acute pulmonary embolism could be light or serious without specific. Examination methods included electrocardiogram, X-ray imaging, artery blood gas analy- sis, D-dimer, color ultra-sonic imaging, radioactive pulmonary ventilation and perfusion imaging, pulmonary artery CT angiography. Among these, radioactive pulmonary ventilation/perfusion imaging and pulmonary artery CT angiography were the highest in specificity and sensitivity. Thrombolytic therapy was better than anti-coagulation therapy alone. Conclusion The characteristics of acute pulmonary embolism is diverse, and the accessory exami- nations are non-specific, thus acute pulmonary embolism can be easily misdiagnosed or missed. The curative method can affect its prognosis.
出处
《中国心血管病研究》
CAS
2010年第5期352-354,共3页
Chinese Journal of Cardiovascular Research
关键词
急性肺栓塞
临床特点
疗效
Acute pulmonary embolism
Clinical characteristics
Curative effects
