摘要
目的提高术后病人肺栓塞或梗死的诊断准确率。方法10例不同外科手术患者,术后共有症状突发胸闷、气短、呼吸困难,剧烈胸痛、咳血、低热等,每日1次床旁胸片正位或正侧位。结果发生于右下叶的肺梗死5例,上叶的2例。后经血管造影证实,其中2例为多叶分布。结论认真分析床旁胸片图像,结合临床对术后急性肺栓塞或肺梗死的诊断确有帮助。
[Objective] To improve the diagnosis accuracy rate of pulmonary embolism and pulmonary nfarction afer operation. [Methods] 10 cases of outburst chest distress, breathe hard, olecompensation, intense chest pain, hemoptysis, low ferer and so on after different surgical operations, They took entopic and lateral position sternum beside ward bed once a day. [Results] 5 cases of pulmonary infartion happened in right lower lobe, 2 cases happened in supenor lobe, I case of pulmonary embolism happened in infenor lobe didn＇t form pnlmonary infarction. Angiography afterward approred that 2 cases dis tributed several lobes. [Conclusion] Analysis the image of sternum beside ward bed conbine with clinic will be helpful to diagnosis of acicte pulmonary embolism and pulmonary infarction after operation.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2005年第18期2817-2818,共2页
China Journal of Modern Medicine
关键词
术后床旁胸片
肺栓塞
肺梗死
sternum beside ward bed after operation
pulmonary embolism
pccmonary infarctoin
