摘要
急性肺栓塞(APE)作为一种非常危重的呼吸系统疾病,也可以称为心血管系统疾病。APE是致死性胸痛急症之一,其发病率在逐年升高。在过去临床工作中由于其症状不典型,缺乏经验及检查手段,以及对其重视不够,造成其漏诊率、误诊率和死亡率均较高。尽早明确疾病诊断并及时诊治非常重要,可以挽救更多危重症患者生命。现在临床医师对该病越来越重视,使本病的漏诊率逐年下降。本文详细介绍了APE的易患因素、临床表现以及诊断,包括疑似诊断,及进一步确诊的各种方法。最后讲述该病的治疗方案,从轻症患者抗凝治疗,到危重患者溶栓治疗,详细展示了APE的最新诊断及治疗进展。
Acute pulmonary embolism, a very serious respiratory disease, can also be called cardiovascular disease. Acute pulmonary embolism is one of the most fatal cases of chest pain, and the incidence of acute pulmonary embolism is increasing year by year. In the past clinical work, due to its atypical symptoms, lack of experience and examination methods, and insufficient attention to it, the missed diagnosis rate, misdiagnosis rate and mortality rate are high. It is very important to make a diagnosis of the disease and timely diagnosis and treatment as soon as possible, which can save more lives of critically ill patients. Now clinicians are paying more and more attention to the disease, resulting in a decline in the rate of missed diagnosis of this disease year by year. This article details the predisposing factors, clinical manifestations and diagnosis of acute pulmonary embolism, including suspected diagnosis, and various methods for further diagnosis. Finally, the treatment plan of the disease, from anticoagulant therapy for mild patients to thrombolytic therapy for critical patients, is described in detail to show the latest progress in diagnosis and treatment of pulmonary embolism.
作者
李万辉
LI Wan-hui(General Internal Medicine,Jizhou District People's Hospital of Tianjin,Tianjin 301900,China)
出处
《中国城乡企业卫生》
2020年第4期40-43,共4页
Chinese Journal of Urban and Rural Enterprise Hygiene
关键词
急性肺栓塞
抗凝
溶栓
Acute pulmonary embolism
Anti-freezing
Thrombolysis
