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目的:提高对肺栓塞(PE)的认识。方法:经肺核素扫描、肺动肺造影和X线胸片等方法,对26例PE进行回顾性分析。结果:引起PE的主要危险因素仍是深静脉血栓性静脉炎(462%)。肺灌注显像19例,789%呈双肺多发性灌注缺损,211%呈右肺灌注缺损;肺动脉造影6例均提示肺动脉阻塞。本组死亡率为192%,未治疗者为80%,治疗者为47%;本组病人误诊率为(73%)。提示:PE仍为人们认识不足的疾病,误诊率较高,应予以重视。
Objective: To improve the understanding of pulmonary embolism (PE). Methods: 26 cases of PE were retrospectively analyzed by pulmonary radionuclide scan, pulmonary pulmonary angiography and X-ray. Results: The main risk factor for PE was still deep vein thrombophlebitis (462%). Pulmonary perfusion imaging in 19 cases, 78.9% showed multiple lung perfusion defects, 21.1% showed right lung perfusion defect; pulmonary arteriography 6 cases were prompted pulmonary artery occlusion. The mortality rate was 19 2% in this group, 80% of untreated patients, treatment was 4 7%; misdiagnosis rate of patients in this group was (73%). Tip: PE is still a lack of awareness of the disease, the higher the rate of misdiagnosis, should be taken seriously.