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肺栓塞患者18例的诊治体会

Diagnosis and treatment of 18 patients with pulmonary embolism
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摘要 目的:分析肺栓塞患者的诊断、治疗方式,并总结治疗体会。方法:2018年5月-2020年1月收治肺栓塞患者18例,对比诊断和治疗效果。结果:患者接受多种方式联合诊断后均被确诊,同时合并症也被确诊;通过抗凝、溶栓等治疗后,治愈15例,有明显好转3例。结论:肺栓塞患者的症状以及体征不典型,采用动脉血气分析、D-二聚体、超声心动图和心电图、胸部X线、CT等方式进行诊断时效果良好,溶栓治疗可有效提升救治率。 Objective:To analyze the diagnosis,treatment,and summarize the treatment experience.Methods:From May 2018 to January 2020,18 patients with pulmonary embolism were selected.We compared the diagnosis and treatment effects.Results:The patients were diagnosed after receiving multiple combined diagnosis,and the complications were also diagnosed.After anticoagulation and thrombolysis,15 cases were cured and 3 cases were significantly improved.Conclusion:The symptoms and signs of patients with pulmonary embolism are not typical,the effect of diagnosis by arterial blood gas analysis,D-dimer,echocardiography,ECG,chest X-ray and CT is good,and thrombolytic therapy can effectively improve the treatment rate.
作者 王存富 Wang Cunfu(Department of Cardiovascular Medicine,Rugao Boai Hospital,Jiangsu Province,Jiangsu Rugao 226500)
出处 《中国社区医师》 2021年第33期56-57,共2页 Chinese Community Doctors
关键词 肺栓塞 溶栓治疗 静脉血栓 心电图 超声心动图 Pulmonary embolism Thrombolytic therapy Venous thrombosis ECG Echocardiography
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