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目的:探讨急性肺动脉栓塞(PTE)的早期诊断与治疗方法。方法:回顾性分析2 002年2月～2006年12月在我院诊断的30例PTE患者的危险因素、临床表现、辅助检查及治疗情况。结果:FTE缺乏特异性临床表现,但临床症状和体征能提供重要线索;心电图、超声心动图、血气分析双下肢深静脉超声及肺灌注扫描螺旋CT均能够为PTE早期确诊提供相对特征性改变;早期溶栓及抗凝治疗可有效降低病死率,改善预后。结论:提高PTE的早期诊断率,尽早溶栓及抗凝治疗是治疗成功,改善预后的关键。
Objective: To investigate the early diagnosis and treatment of acute pulmonary embolism (PTE). Methods: The risk factors, clinical manifestations, auxiliary examinations and treatment of 30 PTE patients diagnosed in our hospital from February 2002 to December 2006 were retrospectively analyzed. Results: FTE lacks specific clinical manifestations, but clinical symptoms and signs can provide important clues; ECG, echocardiography, blood gas analysis of both lower extremity deep vein ultrasound and lung perfusion spiral CT scan can provide relatively characteristic changes for the early diagnosis of PTE; Early thrombolysis and anticoagulant therapy can reduce mortality and improve prognosis. Conclusion: To improve the early diagnosis of PTE, as soon as possible thrombolysis and anticoagulant therapy is the key to successful treatment and prognosis.