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目的探讨肺栓塞的临床特点、诊治及误诊情况,从而提高诊治水平,减少误诊率。方法对首都医科大学大兴医院2005-2010年收治的102例肺栓塞病例进行回顾性分析。结果 102例患者中,首诊误诊主要为呼吸及循环系统疾病,其中误诊率达64%。接受治疗后,临床治愈79例,无改善15例,死亡8例。结论肺栓塞临床表现多样,及时而规范的治疗可提高治愈率,降低死亡率。
Objective To investigate the clinical features, diagnosis, treatment and misdiagnosis of pulmonary embolism, so as to improve the diagnosis and treatment and reduce the rate of misdiagnosis. Methods A retrospective analysis of 102 cases of pulmonary embolism admitted to Daxing Hospital, Capital Medical University during 2005-2010. Results Of the 102 patients, the first misdiagnosis was respiratory and circulatory diseases, with a misdiagnosis rate of 64%. After treatment, clinical cure 79 cases, no improvement in 15 cases, 8 cases of death. Conclusions The clinical manifestations of pulmonary embolism are diverse, and timely and standardized treatment can improve the cure rate and reduce the mortality rate.