摘要
目的:探讨肺栓塞和有相似临床表现的几种疾病的症状体征的鉴别诊断。方法:共入选390例肺栓塞及对照病例。其中肺栓塞组205例,冠心病心衰组85例,高血压病心衰组48例,Ⅰ型呼吸衰竭组52例。对390例病例的症状、体征等临床资料进行回顾性分析。结果:应用多因素非条件Logistie回归进行危险因素分析,晕厥OR值为5.570、P<0.001,咯血OR值为4.232、P<0.01,呼吸困难OR值为1.734、P<0.05,胸痛OR值为1.572、P值为0.054。肺栓塞组血压低于其他各对照组,尤其与冠心病心衰组、高血压心衰组相比,差异有明显的显著性,P<0.01。结论:呼吸困难、胸痛、咯血、晕厥是肺栓塞较为典型的症状。其中咯血、晕厥有一定的特异性。血压不高甚至偏低提示肺栓塞的可能性大。
Objective：To investigate the difference of the symptoms and Signs of pulmonary embolism （PE） from several diseases that have likely clinie features. Methods：There were totally 390 eases enrolled into this study, including 205 cases of PE, 85 eases of coronary artery disease （CAD） with congestive heart failure （CHF）, 48 cases of essential hypertension （EH） with CHF, 52caSes of type I respiratory failure （RF）, We analyzed the clinic data of 390 cases about symbolisms and signs. Results：We analyze risk factories with Logistic regression, OR of syncope is 5.570, P 〈 0.001;OR of haemoptysis is 4.232, P〈 0.01;OR dyspnea is 1.734, P 〈 0.05;OR of chest pain is 1.572, P = 0.054. The blood tension of PE group is lower than other groups, especially lower than CAD and EH, the difference is explicit, P〈 0.01. Conclusion： Syncope, haemoptysis, dyspnea and chest pain are typely symptoms, syncope and haemoptysis are specifically in some extent. The possibility of PE diagnosis is higher when blood pressure being low.
出处
《中国医药导刊》
2009年第9期1445-1448,共4页
Chinese Journal of Medicinal Guide
关键词
肺栓塞
鉴别诊断
症状
体征
Pulmonary embolism
Different al Diagnosis
Symptom
Sign
