摘要
目的 :提高综合医院临床医师对肺栓塞的认识、诊断及治疗水平。方法 :对 35例肺栓塞患者的病因、临床表现、实验室检查及诊断治疗等临床资料进行回顾性分析。结果 :肺栓塞临床表现差异较大 ,容易误诊 ,本组误诊率达 82 9%。深静脉血栓形成是肺动脉栓塞发生的主要原因 ,其发生率为 74 3%。结论 :综合医院临床医师应提高对肺栓塞的警惕性 ,仔细查找病因。肺灌注显像具有一定的诊断价值 ,规范化溶栓治疗 ,可显著改变预后。
Objective:To improve physicians understanding,diagnosis and treatment of pulmonary embolism(PE)in general hospitals.Methods:We reviewed the clinical data regarding etiology,clinical manifestation and laboratory findings of 35 patients with PE during the past 15 years.Results:PE had varied clinical manifestations with high misdiagnosing rate of 82 9% in the first visit.One of major causes of PE is deep venous thrombosis,which accounted in 74 3%.Conclusion:Physicians in general hospitals should pay more attention to PE in order to improve a diagrastic accuracy with its prognosis.Radioactive nuclide lung perfusion plays an important role in diagnosis of PE.The standard thrombolytic therapy may improve the prognosis significantly.
出处
《中日友好医院学报》
2000年第2期87-90,共4页
Journal of China-Japan Friendship Hospital
关键词
肺栓塞
诊断
治疗
pulmonary embolism
diagnosis
treatment
