摘要
目的 分析急性肺栓塞的临床特点 ,有关实验室检查及观察溶栓抗凝治疗的临床效果。方法 对 2 1例肺栓塞患者经放射性核素肺灌注通气检查 ,或超声心电图确诊 ;17例经尿激酶 +肝素溶栓抗凝治疗 ,2 4小时后复查肺灌注通气扫描评价治疗效果。结果 男性以青壮年多见 ,女性患者以更年期以后发病明显增高 ,院外误诊率高达 76 %。临床上以呼吸困难最为多见 ,其次为胸痛。无创实验室检查中以放射性核素肺灌注通气检查阳性率最高 ,心电图出现SⅠQⅢTⅢ ,V1～V5T波倒置较多见 ,血气分析检查示低氧血症无二氧化碳潴留。 17例尿激酶溶栓治疗后 ,14例缺损肺段减少 >30 % ,有效率 82 .4%。结论 应提高对急性肺栓塞的警惕性 ,以减少误诊率 ,经确诊者须尽快行溶栓治疗。
Objectives To analyze the clinical and laboratory charaeteristics of pulmonary embolism.observe the result of thrombolysis and anticoagulation therapy.Methods Twenty-one patients with pulmonary embolism were selected based on the results of perfusion lung scanning or ultrasound cardiogram and seventeen patients were treated by heparin and urokinase and results were evaluated.Results Misdiagnostic rate before hospital admission was 76%.The most frequent symptom was dysnea and the second was chest pain.of all the examinations perfusion lung scanning got the highest positive rate.ECG showed S ⅠQ ⅢT Ⅲ and Twave invention in most case.Blood-gas check showed hypoxemia but without CO 2 retention,seventeen patients were treated by heparin and urokinase.Fourteen patients(82.4%) were effective.Conclusions It is important to enhance vigilance to pulmonary embolism in order to decrease misdiagnostic vate.Once diagnosed,treament should be the earlier the better.
出处
《宁夏医学杂志》
CAS
2000年第3期134-135,共2页
Ningxia Medical Journal
