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目的:探讨肺血栓栓塞症(PTE)的临床特点、早期诊断方法,提高PTE的诊断率。方法:回顾分析2000-01-2010-08我院收治的54例PTE患者的临床表现、实验室辅助检查结果及治疗方法等资料。结果:PTE的临床表现缺乏特异性,主要表现为呼吸困难(57.4%)、胸痛(46.3%)、咯血(22.2%)及咳嗽(31.5%)等症状。D-二聚体检测、动脉血气分析检查对诊断有重要意义,肺动脉造影是PTE诊断的金标准,CT肺动脉造影能快速确诊PTE。结论:PTE临床表现缺乏特异性,对可疑患者进行危险分层,根据患者的临床特点合理选择D-二聚体检测、动脉血气分析、肺动脉造影或CT肺动脉造影等检查能提高早期PTE的确诊率,避免漏诊和误诊。
Objective: To investigate the clinical characteristics of pulmonary thromboembolism (PTE), early diagnosis and improve the diagnostic rate of PTE. Methods: A retrospective analysis of 2000-01-2010-08 admitted to our hospital in 54 cases of PTE clinical manifestations, laboratory tests and results of treatment and treatment methods and other data. Results: The clinical manifestations of PTE were not specific. The main manifestations were dyspnea (57.4%), chest pain (46.3%), hemoptysis (22.2%) and cough (31.5%). D-dimer test, arterial blood gas analysis is important for the diagnosis of diagnosis, pulmonary arteriography is the gold standard for the diagnosis of PTE, CT pulmonary angiography can quickly confirm the PTE. Conclusions: The clinical manifestations of PTE are not specific, and the risk stratification of suspicious patients, according to the clinical characteristics of patients with a reasonable choice of D-dimer test, arterial blood gas analysis, pulmonary arteriography or CT pulmonary angiography can improve the early diagnosis of PTE , To avoid misdiagnosis and missed diagnosis.