摘要
目的:肺梗死临床表现和影像表现复杂多样,误、漏诊率高。方法:本研究通过回顾性分析在笔者所在医院诊治的22例肺梗死患者的临床资料,总结其误诊原因,以对肺梗死及时、准确的诊断,减少误诊率和死亡率。结果:22例患者确诊后给予尿激酶溶栓及肝素、华法令抗凝治疗,然而由于开始阶段认识不足,未能采取积极的溶栓治疗,有7例死亡,死亡率高达31.8%,尸检证实均为肺梗死;其余住院治疗17～30d,平均24d,出院后继续抗凝治疗。结论:肺梗死误诊率高达79%,未经积极治疗病死率接近30%,而及时诊断治疗者病死率可降至2%～8%,因此及时准确诊断出肺梗死是关键。
Objective： Clinical and imaging performance of pulmonary infarction is complicated, mistakenly and missed diagnosis ratio is high. Methods ： The clinical data of 22 cases with pulmonary infarction were retrospectively analyzed.We summed up the cause of misdiagnosis of this disease, to prompt the correct diagnosis in time, to reduce the misdiagnosis rate and death rate.Results： 22 patients after diagnosis given urokinase and heparin, warfarin therapy, due to the lack of knowledge of the beginning, however, failed to take an active thrombelytic therapy, with 7 deaths, a mortality rate as high as 31.8%, the autopsy confirmed arepulmonary infarction; remaining hospitalized 17-30 d, average 24 d, continue antieoagulation therapy after discharge. Conclusion ： Pulmonary infarction misdiagnosis rate as high as 79%, without aggressive treatment of the case fatality rate of nearly 30%, and timely diagnosis and treatment of mortality can be reduced to 2%-8%, therefore, timely and accurate diagnosis of pulmonary infarction is the key.
出处
《中外医学研究》
2013年第7期62-63,共2页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
肺梗死
X线摄片
诊断
Pulmonary Infarction
X-ray
Diagnosis
