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煤工尘肺合并静脉血栓栓塞症的临床分析 被引量:3

Clinical analysis on CWP patients complicated with venous thromboembolism
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摘要 对2011年370名煤工尘肺患者以改良Wells评分法(2003)进行病例筛选;对其中Wells评分≥2分者进一步完善D-Dimer(ELISA法)、心电图(ECG)、肺动脉CT血管造影(CTPA)、超声心动图(UCG)及下肢静脉加压超声显像检查,明确是否存在肺血栓栓塞症和(或)深静脉血栓形成,并记录其临床特点。结果显示,370例煤工尘肺患者中改良Wells评分≥2分者共39例,明确合并静脉血栓栓塞症者34例,其中合并肺血栓栓塞症者25例,合并深静脉血栓形成9例,同时合并肺血栓栓塞症及深静脉血栓形成者6例。煤工尘肺合并肺血栓栓塞症者的临床表现以劳力性呼吸困难及气促、慢性咳嗽急性加重及胸痛最常见。煤工尘肺合并深静脉血栓形成者的临床表现以水肿、活动时胀痛、乏力最常见。提示煤工尘肺患者合并静脉血栓栓塞症后,临床表现改变可不明显。改良Wells评分法(2003)可作为疑似静脉血栓栓塞症的有效筛选手段。
出处 《中国工业医学杂志》 CAS 北大核心 2012年第5期350-351,共2页 Chinese Journal of Industrial Medicine
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