摘要
目的通过对48例肺血栓栓塞症(PTE)患者的临床分析,提高对PTE的防范意识和诊治水平。方法将48例患者分为非老年组和老年组,采用SPSS软件分析比较两组患者入院症状、合并症、检查指标、确诊方式、确诊时间、治疗方式及转归等情况。结果将2016年-2021年PTE的发病率呈稳步上升趋势。两组患者的临床症状主要表现为呼吸困难、胸痛、心悸;实验室结果主要表现为肺泡-动脉氧分压差增大、低氧血症、D-二聚体和BNP的升高;辅助检查主要表现为ST段的改变、肺动脉高压以及右心增大。两组患者在诊断时间、治疗方式、转归情况等方面均无统计学差异。结论肺栓塞在老年人群中发病率高,大多都有罹患因素,具有跨科系、跨专业的特点。由于大部分基层医院的呼吸科不具备血管介入技术,所以在PTE的诊治能力方面呼吸科还需加强。
Objective To improve the awareness of prevention,diagnosis an treatment of pulmonary thromboembolism(PTE)by clinical analysis of 48 patients.Methods 48 patiests were divided into non-elderly group and elderly group.SPSS software was used to analyze and compare the symptoms,complication,examination indicators,diagnosis,diagnosis time,treatment and outcome of the two groups.Results The incidence of PTE in our hospital from 2016 to 2021 showed a steady increase trend.The main clinical symptoms of the two groups were dyspnea,chest pain and palpitation.The laboratory results showed that alveolar-arterial oxygen partial pressure difference increased,hypoxemia,d-dimer and BNP increased.Secondary examination showed ST segment changes,pulmonary hypertension and enlargement of the right heart.There was on ststistical difference in diagnosis time,treatment mode and outcome between the two groups.Conclusions The incidence of pulmonary embolism in the elderly is high,and most of them have the risk factors,which was the characteristics of cross-family and cross-specialty.As most respiratory departments in primary hospitals are not equipped with vascular intervention technology,the diagnosis and treatment ability of PTE in the respiratory department needs to be strengthened.
作者
郎金杰
孟德新
赵坤
LANG Jinjie;MENG Dexin;ZHAO Kun(Harbin 242 Hospital,Harbin 150000,China)
出处
《航空航天医学杂志》
2022年第11期1287-1290,共4页
Journal of Aerospace medicine
