摘要
目的:通过分析肺血栓栓塞症(PTE)的基础疾病、临床特征、辅助检查和治疗,进一步加强对本病的认识。方法:回顾性分析48例PTE患者的临床资料。结果:48例中全部存在高危因素,深静脉血栓形成占68.75%。临床表现以呼吸困难、胸痛、烦躁不安、咳嗽为主。D-二聚体、血气分析、心电图、超声心动检查结果有初筛价值,CT肺动脉造影检查明确诊断。10例行溶栓加抗凝治疗者,治疗有效率100%;38例行抗凝治疗,总有效率为93.75%。结论:PTE与基础疾病密切相关,临床表现缺乏特异性,采用多种诊断手段与临床表现相结合可提高诊断率,血浆D-二聚体,CT肺动脉造影可以很好辅助PTE诊断,早期诊断及时溶栓和抗凝治疗可提高治愈率。
Objective： By analyzing the underlying disease, clinical characteristics, laboratory examinations and treatment of pulmonary thromboembolism （PTE）, to further strengthen the understanding of the disease.Methods： A retrospective analysis of the clinical data of 48 cases of PTE patients. Results： All of the 48 cases there are high risk factors, including deep vein thrombosis accounted for 68.75%.The clinical manifestations of breathlessness, chest pain, irritability, cough mainly.There are primary screening value on D-dimer, blood gas analysis, electrocardiogram, echocardiogram results, can be diagnosed definitely by CT and pulmonary angiography.10 patients underwent thrombolysis plus anticoagulation therapy, the treatment efficiency of 100%; 38 patients anticoagulant treatment, the total effective rate of 93.75%.Concluslon： Closely related to the PTE with underlying diseases, clinical manifestations were lack of specificity, Using the combination of a variety of diagnostic methods and clinical manifestations can improve the diagnostic rate, D-dimer, CT pulmonary angiography can be a good auxiliary diagnosis PTE.Early diagnosis and timely thrombolysis and anticoagulation therapy to improve the cure rate.
出处
《中外医学研究》
2013年第2期9-10,共2页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
肺血栓栓塞症
诊断
治疗
Pulmonary thromboembolism
Diagnosis
Treatment
