摘要
目的了解肺栓塞(PE)的病因、症状、体征、诊断及药物治疗方法。方法对2004年1月—2008年12月入院并确诊的25例肺栓塞患者的临床表现、检查、诊断及治疗方法进行临床分析。结果急性肺栓塞临床表现无特异性。易患因素有深静脉血栓、高龄、手术、心房纤颤、长期卧床等。主要症状表现为不明原因的呼吸困难、胸痛、晕厥、咯血等。影像学特点呈多样性改变。主要治疗方法为溶栓、抗凝治疗。25例患者治愈率64%(16例),好转20%(5例),病死率16%(4例)。结论肺栓塞的表现不典型,临床医师应提高对急性肺栓塞的诊治水平,逐步提高急性肺栓塞患者的生存率。
[Objectives]To study the causes,symptoms,physical signs,diagnosis and medical treatment of pulmonary embolism（PE）.[Methods]The clinical manifestation,examination results,diagnosis and treatment of 25 patients diagnosed as the acute pulmonary embolism from January 2004 to December 2007 were analyzed.[Results]The clinical manifestation of PE was not specific.The risk factors included deep venous thrombosis,senility,operation,atrial fibrillation and long-term bedridden.The main symptoms were dyspnea,chest pain,vertigo and hemoptysis of unknown causes.The image characteristic was variable.The main treatment methods included thrombolytic therapy and anticoagulant Therapy.Among 25 patients,the cure rate was 64%（16）,the improvement rate was 20%（5）,and 4 cases died（16%）.[Conclusion]The clinical manifestation of PE is not typical,and the clinical doctors should improve the level of diagnosis and treatment,in order to elevate the survival rate of PE patients.
出处
《职业与健康》
CAS
2010年第9期1074-1076,共3页
Occupation and Health
关键词
急性肺栓塞
诊断
治疗
Pulmonary embolism
Diagnosis
Treatment
