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目的讨论肺血栓栓塞症临床表现、诊疗方法及漏误诊原因。方法对佳木斯大学附属第一医院2005-03-2010-06确诊肺血栓栓塞症患者76例进行回顾性分析。结果肺血栓栓塞症临床表现复杂,本组中94.7%存在危险因素,治疗效果显著。结论肺血栓栓塞症临床表现复杂,其发病与多种危险因素密切相关,疑诊肺血栓栓塞症应行D-二聚体、ECT、CTPA等检查,确诊肺血栓栓塞症的患者经溶栓或抗凝治疗效果显著。
Objective To discuss the clinical manifestations, diagnosis and treatment of pulmonary thromboembolism and the causes of misdiagnosis. Methods 76 cases of pulmonary thromboembolism diagnosed in First Affiliated Hospital of Jiamusi University from March 2005 to June 2010 were retrospectively analyzed. Results The clinical manifestations of pulmonary thromboembolism were complicated. There were 94.7% risk factors in this group, and the treatment effect was significant. Conclusions The clinical manifestations of pulmonary thromboembolism are complicated. The pathogenesis is closely related to many risk factors. The suspected pulmonary thromboembolism should be diagnosed by D-dimer, ECT, CTPA and other tests. Patients with pulmonary thromboembolism diagnosed by thrombolysis or Anticoagulant effect is significant.