摘要
目的:探讨肺栓塞患者的危险因素、临床表现及实验室检查,提高临床对肺栓塞的认识。方法:收集本院2006年1月至2009年2月住院期间确诊为肺栓塞的110名患者的一般资料、危险因素、临床表现、相关检查等数据,对所统计的数字进行SPSS13.0分析。结果:呼吸困难组74例(67.3%),无呼吸困难组(32.7%),两组比较危险因素无统计学差异,比较发现氧分压、二氧化碳分压、肺动脉内径无差异,但是右心室内径检查显示两组具有明显的差异。结论:1.不可过分依赖"三联征"诊断肺栓塞,以免误诊、漏诊。2.危险因素:外伤、手术、制动、深静脉血栓,慢性支气管炎,高血压对呼吸困难组与非呼吸困难组中的肺栓塞形成无统计学差异。3.肺栓塞患者呼吸困难与心功能不全具有明显相关性,呼吸困难组应住监护病房,密切观察病情变化。
Objective：To improve the knowledge of pulmonary embolism （PE） from studying the risk factor of clinical manifestation and laboratory result.Methods：The article collects clinical common data, risk factor, clinical manifestation, laboratory result of 100 patients who were diagnosed PE from January 2006 to February 2009. At last the data was analyzed by the SPSS 13.0 Resuluts： Dyspnea group was 74 cases （67.3%）, and no dyspnea group was 36 cases （32.7%）. No statistics difference was found in risk factor of the two groups , and oxygen partial pressure, carbon dioxide partial press inner diameter of pulmonary artery were the same result. But right ventricular internal dimension has visible statistical difference in two groups. Conclusion：1.In order to avoid misdiagnosing and missed diagnosed PE don’t depend on triad greatly. 2. There is no evident differences between dyspnea group and no dyspnea group about there risk factor, such as external injury, operation, braking, deep phlebothrombosis and chronic bronchitis. 3. Pulmonary embolism patients’dyspnea and cardia insufficiency have obviously dependability. So patients with dyspnea should be in care unit to observe patients’condition carefully.
出处
《现代生物医学进展》
CAS
2010年第3期528-529,533,共3页
Progress in Modern Biomedicine
关键词
肺栓塞
呼吸困难
心功能不全
Pulmonary embolism
dyspnea
cardia insufficiency
