摘要
目的:研究急性肺动脉栓塞的临床特点,探讨如何及时准确地对急性肺动脉栓塞进行诊断。方法:回顾性总结我院近10年来收治的125例急性肺动脉栓塞患者的临床资料,对其症状、体征、实验室检查、心电图检查和影像学资料等进行分析。结果:急性肺动脉栓塞临床表现缺乏特异性,其中以不明原因的呼吸困难(83.2%)最为常见,不明原因的肺动脉高压占76.0%,二者联合诊断急性肺动脉栓塞的灵敏度为90.4%;不明原因的晕厥占21.6%,三者联合诊断急性肺动脉栓塞的灵敏度为92.8%。结论:"三个不明原因"———呼吸困难、肺动脉高压和晕厥联合诊断急性肺动脉栓塞具有较高的灵敏度,结合危险因素,可减少急性肺动脉栓塞的漏诊率。
Objective：The study was designed to investigate the clinical characteristics of acute pulmonary thromboembolism（PTE） so as to figure out a timely and accurate diagnostic method of PTE.Method：Clinical data of 125 patients with PTE were retrospectively analyzed,including symptoms,physical signs,laboratory examination,electrocardiogram and imageology data.Result：The clinical manifestations of PTE were not specific.Among these,undetermined dyspnea was the main symptom,which accounts for 83.2%.Undetermined pulmonary hypertension accounts for 76.0%.The sensitivity of combining the two clinical characters in diagnosis of PTE was 90.4%.Undetermined syncope was 21.6%.The sensitivity of combining the three clinical characters in diagnosis of PTE was 92.8%.Conclusion：Three of undetermined causes——dyspnea,pulmonary hypertension and syncope may improve diagnosis sensitivity and decrease the rate of failing to diagnosis of PTE while the related risk factors were considered.
出处
《临床心血管病杂志》
CAS
CSCD
北大核心
2012年第5期377-378,共2页
Journal of Clinical Cardiology
基金
暨南大学第一临床医学院重点学科基金资助项目(No:2010-4)
关键词
肺动脉栓塞
诊断
临床特征
pulmonary thromboembolism
diagnosis
clinical characteristics
