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目的:评价肺栓塞的诊断方法及治疗措施。方法:对2003年1月~2005年5月入院并确诊的29例肺栓塞的诊断、治疗方法进行分析。结果:29例肺栓塞患者中,低氧血症79·3%,D-二聚体>500μg/L84·2%,心脏超声典型改变的51·9%,增强螺旋CT和肺动脉造影敏感性为95·8%和100%。接受溶栓治疗的14例中无一例死亡,接受抗凝治疗15例中死亡1例。结论:肺栓塞的发病与易患因素密切相关,肺栓塞的临床症状体征不典型,需结合辅助检查进行诊断。溶栓治疗可提高患者生存率。
Objective: To evaluate the diagnosis and treatment of pulmonary embolism. Methods: The diagnosis and treatment of 29 cases of pulmonary embolism admitted from January 2003 to May 2005 were analyzed. Results: Among 29 patients with pulmonary embolism, hypoxemia 79.3%, D-dimer> 500μg / L 84.2% and typical changes of cardiac ultrasound 51.9%, enhanced spiral CT and pulmonary arteriography sensitivity 95.8% and 100%. None of the 14 patients who received thrombolysis died, and 1 of 15 died of anticoagulation. Conclusion: The incidence and risk factors of pulmonary embolism are closely related to the clinical symptoms and signs of pulmonary embolism is not typical, need to be combined with the auxiliary examination for diagnosis. Thrombolytic therapy can improve patient survival.