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目的提高临床医生对肺动脉栓塞的认识及诊断、治疗水平。减少漏诊率、误诊率,降低病死率和致残率。方法分析11例肺动脉栓塞患者的基础疾病、症状、体征、各项辅助检查在诊断中的价值,早期应用低分子肝素及华法林抗凝治疗效果。结果 11例患者只有1例因慢性阻塞性肺疾病加重死于Ⅱ型呼吸衰竭,其余10例均症状好转出院。结论肺动脉栓塞的临床表现无特异性,螺旋CT肺动脉造影(CTPA)检查,能够准确发现段以上肺动脉栓塞,尽早抗凝剂治疗,疗效满意。
Objective To improve clinicians’ understanding of pulmonary embolism and its diagnosis and treatment. Reduce the rate of missed diagnosis, misdiagnosis, reduce mortality and morbidity. Methods 11 cases of pulmonary embolism in patients with underlying diseases, symptoms, signs, the value of the auxiliary examination in the diagnosis of early application of low molecular weight heparin and warfarin anticoagulant effect. Results Only one of the 11 patients died of type II respiratory failure due to chronic obstructive pulmonary disease (COPD). The remaining 10 patients were cured and discharged. Conclusions The clinical manifestations of pulmonary embolism are nonspecific. Spiral CT pulmonary angiography (CTPA) examination can accurately detect pulmonary embolism above the segment, as soon as possible anticoagulant therapy, the curative effect is satisfactory.