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目的 :探讨肺栓塞 (PE)尤其是慢性肺栓塞的发病诱因及临床特点 ,以期减少本病的误漏诊 ,并总结治疗方法。方法 :综合本科发现的 2例和国内文献报导的 2 0 3例 ,计 2 0 5例肺栓塞患者的临床资料结合文献复习 ,对肺栓塞的诊断和治疗进行讨论。结果 :肺栓塞尤其是慢性肺栓塞的误漏诊率高达 74 6 0 % ,如能正确诊断并合理治疗 ,治疗好转率为 90 2 8%。结论 :发现并重视诱发肺栓塞的基础疾病对避免误漏诊很有意义 ,而临床医生对本病的诊断意识尤为关键。溶栓、抗凝、抗血小板集聚综合治疗是提高肺栓塞好转率的有效措施
Objective: To investigate the causes and clinical features of pulmonary embolism (PE), especially chronic pulmonary embolism, in order to reduce the misdiagnosis of the disease and to summarize the treatment methods. Methods: The clinical data of 2 0 5 cases of pulmonary embolism combined with literature review were reviewed based on 2 cases found in undergraduate and 203 cases reported in domestic literature, and the diagnosis and treatment of pulmonary embolism were discussed. Results: The error rate of pulmonary embolism, especially chronic pulmonary embolism, was as high as 74 60%. If correct diagnosis and reasonable treatment were given, the rate of improvement was 90 2 8%. Conclusion: It is of great significance to find out and pay attention to the underlying diseases that induce pulmonary embolism to avoid misdiagnosis, and clinicians are especially critical for the diagnosis of this disease. Thrombolysis, anticoagulation, anti-platelet aggregation is an effective measure to improve the rate of improvement of pulmonary embolism