摘要
目的为进一步提高对肺动脉栓塞的认识,早期发现肺动脉栓塞,联合超声心动图、外周血管超声及螺旋增强CT 肺动脉造影等影像学检查,总结分析其临床与多种影像学的特点.方法：收集我院2009 年3 月-2012 年9 月确诊的30 例肺动脉栓塞病例,对其临床特点、影像学检查结果,D-二聚体等结果进行临床分析与总结.结果：30 例患者中,呼吸困难为最主要临床症状,占86%.90%患者D-二聚体升高,有3 例患者D-二聚体检查阴性,高频超声示下肢深静脉血栓形成17 例,超声心动图显示血栓而直接诊断6 例,大部分患者胸片检查正常,全部病例行螺旋增强CT 肺动脉造影并明确诊断.结论：呼吸困难是肺动脉栓塞最常见的临床表现,下肢深静脉血栓形成是最易发生PE 的基础疾病,下肢静脉超声、超声心动图、D-二聚体可作为常规筛选检查,结合胸部CT 肺动脉造影可确诊.
ObjectiveTo further enhance the understanding of pulmonary embolism , early detection of pulmonary embolism , combined echocardiography, peripheral vascularultrasound and enhanced spiral CT pulmonary angiography and other imaging studies, which analyzed the characteristics of a variety of clinical and imaging. Methods：Collected inour hospital in March 2009 - September 2012 confirmed 30 cases of pulmonary embolism cases , the clinical features , imaging findings , D- dimer results of clinical analysis andsummary. Results：30 patients , dyspnea is the main clinical symptoms , accounting for 86%. 90% of patients with elevated D-dimer , three patients tested negative D -dimer ,high-frequency ultrasound showed deep venous thrombosis in 17 cases , echocardiography showed six cases of thrombosis and direct diagnosis , most patients chest examination wasnormal in all cases enhanced spiral CT pulmonary angiography and diagnosis. Conclusions：Dyspnea is the most common pulmonary embolism clinical manifestations , deep venousthrombosis （DVT） is the most prone to PE on the basis of disease, venous ultrasound, echocardiography, D-dimer can be used as routine screening, combined chest CT pulmonaryangiography can be confirmed.
出处
《河南中医》
2014年第B11期347-348,共2页
Henan Traditional Chinese Medicine
