摘要
为进一步了解肺血栓栓塞 (PTE)的临床特征 ,提高早期诊断率 ,收集 1982年 11月～ 2 0 0 1年 2月尸检诊断PTE 5 0例 ,分析其临床及病理特点。结果显示 ,PTE以老年患者居多 ,基础疾病以心血管疾病及恶性肿瘤最常见 ,其他有肺炎、慢性阻塞性肺疾病、糖尿病、手术和创伤等。临床表现不典型 ,多表现为呼吸困难突然出现或加重、晕厥、猝死和低氧血症等 ,具有典型“三联征”者极少。病理特点为巨大肺栓塞 2 3例 ,次巨大肺栓塞 2 7例 ,其中 13例猝死 ,肺梗死 11例。生前正确诊断 8例。误诊原因为临床医师对PTE的临床特点认识不足、警惕性低。
To improve the early diagnosis of pulmonary embolism(PE), clinical and pathological data of 50 cases of pulmonary thromboembolism(PTE) proved by autopsy in General Hospital of PLA from 1982 to 2001 were reviewed. The results showed that in these 50 patients(male 37,female 13) only eight had been diagnosed PE prior to death. The most frequently seen symptoms included sudden onset of dyspnea, syncope and sudden death. The most important causes of incorrect diagnosis were failure to suspect PE, and the protean nature of the disease. It is suggested that all patients with suspected PE have to instantly access the likelihood of PE, and then be sent for further investigations to prove or exclude PE, accordingly, underdetection of PE and mortality of PE could be reduced.
出处
《解放军医学杂志》
CAS
CSCD
北大核心
2002年第12期1066-1068,共3页
Medical Journal of Chinese People's Liberation Army
基金
解放军总医院医学科研基金资助课题(编号 0 1YM0 1 )
关键词
肺血栓栓塞
病理学
临床特征
诊断
pulmonary embolism
pulmonary artery
pathology,clinical
