摘要
目的分析青年肺栓塞患者的临床特点,提高临床医生对青年肺栓塞的诊断意识,从而早期干预、规范治疗,降低死亡率、致残率。方法收集2000年1月～2012年5月河南科技大学第一附属医院住院青年肺栓塞患者105例,对其临床资料进行回顾性分析。结果青年肺栓塞患者无危险因素者28%;危险因素中,下肢深静脉血栓32%,外科手术后30%,无基础病者83%;临床表现中,症状以呼吸困难(84%)、咳嗽咳痰(51%)、胸痛(49%)多见,体征以发热(50%)、紫绀(33%)、肺部听诊湿啰音(31%)多见;误诊漏诊43%;64层CT肺动脉造影(CTPA)确诊者59%。结论青年肺栓塞患者多有危险因素,以DVT、外科手术为主,基础病少见。临床表现缺乏特异性,误诊漏诊率高,做出诊断的关键是提高临床医生的诊断意识。CTPA已作为确诊检查的首选方法。
Objective To analyse the clinical features of pulmonary embolism in youth, improve the clinical doctors on pulmonary embolism diagnosis consciousness, early intervention, the standard treatment, to reduce mortality and morbidity. Methods Clinical data of 105 patients with PET in our hospital from Jan. 2000 to May 2012 were collected retrospectively and analyzed. Results Youth pulmonary embolism patients without the risk factors （28%） ; risk factors, deep vein thrombosis （32%） , after surgery （30%） ; No foundation sick （83%） ; In clinical realizable, Symptoms with difficulty breathing （84%） , cough and expectoration （51%） , chest pain （49%） was more common, Signs with fever （50%） , cyanosis （33%） , lung auscultation wet rales （31%） was more common; misdiagnosis or missed diagnosis （43%） ; 64 layer CT pulmonary angiography （CTPA） diagnosed person （59%）. Conclusion Most of the youth pulmonary embolism patients had risk factors, many risk factors were given priority to DVT and surgery, the basis of disease is rare. Clinical manifestations is the lack of specificity, the rate of misdiagnosis or missed diagnosis is high, the key to make a diagnosis is raising the awareness of the clinician＇ s diagnosis. CTPA has confirmed as the preferred method of inspection.
出处
《河南科技大学学报（医学版）》
2012年第3期187-189,193,共4页
Journal of Henan University of Science & Technology:Medical Science
关键词
肺栓塞
青年
临床特征
pulmonary embolism
youth
clinical features
