摘要
目的:分析术后发生急性肺栓塞(PE)死亡率高的原因及治疗对策。方法:采用肺动脉造影及临床综合手段,诊断了9例术后发生急性PE。结果:9例患者初诊全部误诊,其中6例死亡(67％);介入治疗使致死性急性PE迅速摆脱临床症状。结论:术后发生的急性PE误诊率高,死亡率高,应提高医师的诊断意识和诊断水平;术后溶栓药物受限时,应考虑介入治疗。
Objective: To analyse the reason of high death rate and treatment strategies for patients with acute PE after operation. Method: With pulmonary artery radiography and clinical comprehensive means, 9 cases with PE after operation were dignosed. Result: Missing or wrong diagnosis rate of first consultation was 100%, 6 cases died, death rate is 67%; intervening treatment can make acute PE get rid of clinical symptom prornptly. Conclusion: Both missing or wrong diagnostic rate of acute PE after operation and death rate are high, Diagnostic level and the diagnostic consciousness of physicians must be improved! Since thrombolytic therapy may be risky or contraindicated after operation intervenily management should be considered
出处
《中国医药导刊》
2001年第1期24-25,共2页
Chinese Journal of Medicinal Guide
