摘要
目的:总结急性肺栓塞的临床特征、诊断和治疗方法,以提高其诊断率和治愈率。方法:回顾性分析1999年1月至2005年12月两院44例急性肺栓塞患者的临床资料。结果:呼吸困难、胸痛、晕厥和咯血为急性肺栓塞的早期主要临床表现,血清D-二聚体、动脉血气分析、心电图、螺旋CT、肺通气/灌注核素扫描、核磁共振成像检查和/或肺动脉造影确诊为重要的诊断手段,早期抗凝、溶栓治疗获良效。本组治愈或好转32例,死亡12例。结论:急性肺血栓早期主要表现为非特异性的呼吸困难、胸痛等,早期诊断肺栓塞至关重要,及时抗凝和溶栓治疗可提高治愈率。
Objective： To summary the clinical characteristics, diagnosis and treatment of patients with acute pulmonary thromboembolism in order to increase the correct diagnosis rate and cure rate. Methods： The clinical data of 44 patients with acute pulmonary thromboembolism in the two hospitals were analyzed retrospectively from Jan 1999 to Dec 2005. Results： The important early clinical manefistations included dyspnea, chest pain, syncope and haemoptysis. The chief diagnosis means were serum D-dimer,arterial blood gas analysis,electrocardiogram, spirals CT, lung scan, nuclear magnetic resonance （MRI） and/or pulmonary artefiography. It will be good treated by anticoagulant and thrombolysis earliy. 32 cases healed or mended and 12 died. Conclusions： The early chief clinical manifestations of acute pulmonary thromboembolism were non-specific. It＇s important to correctly diagnose acute pulmonary embolism and take measures of anticoagulant and thrombolysis immediately will improve the cure rate.
出处
《岭南急诊医学杂志》
2006年第4期259-260,共2页
Lingnan Journal of Emergency Medicine
关键词
急性
肺血栓
诊断
治疗
acute
pulmonary thromboembolism
dianosis
treatment
