摘要
目的观察急性肺血栓栓塞症抗凝与溶栓前后的症状、血气指标、心电图、超声心动图、肺通气/灌注扫描的变化。方法选用2000年1月～2006年7月年我院就诊的急性肺动脉栓塞患者35例。既往均无心肺疾患。行超声和肺通气/灌注扫描后随机分为两组,15例进行了溶栓治疗,20例行低分子肝素抗凝。观察溶栓和抗凝前后症状、动脉血气分析、心电图、超声心动图。结果症状、血气指标、超声心动图、肺通气/灌注扫描,溶栓组比抗凝组改善明显,P<0.05。结论溶栓比单纯抗凝效果好。
Objective To observe the changes in symptom, blood gas index, electrocardiogram, echocardiogram, pulmonary ventilation/perfusion scanning before and after anticoagulation and thrombolysis in patients with acute pulmonary thromboembolism. Methods Choosed 35 cases with acute pulmonary thromboembolism from Jan, 2000 to July, 2006. All of them hadn＇t past history, with heart and pulmonary diseases. 35 patients were randomly divided into two groups after UCG and pulmonary ventilation/peffusion scanning. Fifteen ones who had undergone the thrombolysis therapy （group 1）, and the other tweenty had anticoagulation treatment with low molecular weight heparin （group 2）. Symptom, arterial blood gas analysis, elec- trocardiogram, echocardiogram were analyzed comparatively before and after anticoagulation and thrombolysis. Results In symptom, blood gas index, eehocardiogram, pulmonary ventilation/perfusion scanning, group 1 improved significantly compared with group 2 （P〈0.05）. Conclusion Thrombolysis is more effective than pure antieoagulation.
出处
《中国现代医药杂志》
2007年第12期6-9,共4页
Modern Medicine Journal of China
基金
2005年河北省医学科学重点研究项目(课题号05452)
关键词
尿激酶
低分子肝素
急性肺栓塞
溶栓
抗凝
Urokinase Low molecular weight heparin Acute pulmonary thromboembolism Thrombolysis Antico- agulation
