摘要
目的总结急性大块血栓性肺栓塞的临床特征及治疗效果,并分析预后相关因素。方法对我院15例急性大块血栓性肺栓塞患者进行回顾性分析,包括临床表现、诊断、治疗及转归。结果本组常见临床表现依次为:心动过速100%,呼吸困难93.3%,一过性或持续性低血压53.3%,休克53.5%,晕厥40.0%,咯血40.0%。首诊准确率为46.7%。15例患者中死亡8例,病死率为53.3%。结论急性大块血栓性肺栓塞的误诊率、死亡率高;预后与右心室/左心室(RV/LV)比值、治疗方法以及是否合并其他疾病,特别是与脑卒中密切相关。紧急肺动脉内导管治疗是降低病死率的有效方法。
Objective To summarize the manifestations, therapeutic efficacy and prognosis-related factors of acute massive pulmonary embolism. Methods Data of 15 patients with acute massive pulmonary embolism who were hospitalized in this hospital from Jan 2003 to Dec 2005 were analyzed retrospectively. Results The main manifestations included tachycardia 100%, dyspnea 93.3%, transient or persistent hypotension 53.3%, shock 53.3%, syncope 40.0% and hemoptysis 40.0%. The initial accurate diagnosis rate was 46.7%. Eight cases died, with death rate of 53.3 %. Conclusion Both misdiagnosis rate and death rate of acute massive pulmonary embolism are high. The prognostic indicators included systemic arterial hypotension, RV/LV ratio, therapeutic method and presence of concurrent disease or not, especially brain stroke. Treatment with fragmentation and aspiration of embolus is effective for acute massive pulmonary embolism.
出处
《中华老年心脑血管病杂志》
CAS
北大核心
2006年第8期540-542,共3页
Chinese Journal of Geriatric Heart,Brain and Vessel Diseases
关键词
肺栓塞
误诊
导管插入术
血栓溶解疗法
预后
pulmonary embolism
diagnostic errors
catheterization
thrombolytic therapy
prognosis
