摘要
目的 :提高糖尿病合并肺血栓栓塞 (PTE)的认识 .方法 :对 3例糖尿病合并肺血栓栓塞患者进行回顾性分析 .结果 :糖尿病合并肺血栓栓塞时 ,血糖、D二聚体、纤维蛋白原、血脂均有不同程度的增高 ,胸片均有异常 .CT增强扫描显示 :亚段肺栓塞 .应用低分子肝素抗凝治疗有效 .结论 :糖尿病时存在血液高凝状态 ,容易并发肺血栓栓塞 .故高度怀疑糖尿病合并肺血栓栓塞时 ,要行CT增强扫描检查 .
Objective: To improve the awareness of diabetes with thromboembolism. Methods: 3 cases of diabetes with thromboembolism were reviewed. Results : Blood cholesterol had been increased respectively and X-ray were abnormal in diabetes with thromboembolism. Embolism within the pulmonary arteries can be directly visualized down to the subsegmental vessel by contrast-enhanced CT. It is efficient when treated with heparin to prevent the hypercoagulable state. Conclusion: There is state of the hypercoagulable state in diabetes which can complicate pulmonary thromboembolism easily, so if pulmonary thromboembolism is suspected highly that contrast-enhanced CT should be done and if necessary, pulmonary angiography should be done.
出处
《昆明医学院学报》
2004年第1期88-90,共3页
Journal of Kunming Medical College
