摘要
目的探讨急性肺栓塞的临床特点、诊断,以提高该病的诊治水平。方法对2002年6月～2007年8月入院并确诊的18例肺栓塞的临床表现、检查、诊断及治疗方法进行临床分析。结果急性肺栓塞临床表现不特异。易患因素有高龄、手术、心房纤颤、长期卧床等,主要症状表现为不明原因的呼吸困难、胸痛、晕厥、咯血等,影像学特点呈多样性改变。主要治疗方法为溶栓、抗凝治疗。18例患者治愈率(10例)占56%,好转率(4例)占22%,病死率(4例)占22%。结论肺栓塞的表现不典型,临床医师应提高对急性肺栓塞的诊治水平,逐步提高急性肺栓塞患者的生存率。
Objective To analyze the clinical characteristic and diagnosis of acute embolism, and to improve the diagnosis and treatment of this disease. Methods 18 eases diagnosed as the acute pulmonary embolism and in the hospital from January 2002 to August 2007 were analyzed with the clinical presentations, examination, diagnosis and treatment. Results The clinical presentation of acute pulmonary embolism was not special. The risk factors included senility, operation, atrial fibrillation, and lying bed. The symptom included dyspnea, chest pain, vertigo, hemoptysis with no reason. The imagine characteristic is variable. The main treatment methods included antithromboric therapy and antieoagulation. The results showed the cure in 10 （56%） ,effectiveness in 4 （22%） ,and death in 4 （22%）. Conclusion The presentation of embolism is not typical, and the clinical doctor should elevate the diagnosis and treatment level,in order to elevate the survival rate of pulmonary embolism patients.
出处
《临床肺科杂志》
2008年第11期1395-1395,1398,共2页
Journal of Clinical Pulmonary Medicine
关键词
急性肺栓塞
诊断
治疗
acute pulmonary embolism
diagnosis treatment
