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目的:探讨肺动脉栓塞的临床特点,提高认识,早诊断、早治疗,降低病死率。方法:回顾性分析我院自2000年1月至2010年12月期间根据患者的临床表现及相关辅助检查结果或者根据专家临床经验明确诊断的肺动脉栓塞患者25例。结果:男性组与女性组年龄、手术史之间对照存在差异,有统计学意义(p<0.05),而长途旅游史、吸烟史、妊娠史、避孕史、体重、外伤史没有统计学意义。全部患者的临床表现分类统计:呼吸困难,胸痛,低氧血症在所有患者中所占的比例较大。患者凝血功能资料统计:将所有患者凝血相关资料进行统计:AT、APTT、TT、Fib、INR、D-二聚体均高于正常值。结论:临床上肺动脉栓塞的表现并无特异性,易误诊误治,临床上应加强对该疾病的诊断意识,早诊断、早治疗,降低死亡率。
Objective: To investigate the clinical features of pulmonary embolism, improve awareness, early diagnosis and early treatment and reduce mortality. Methods: A retrospective analysis of our hospital from January 2000 to December 2010 according to the patient’s clinical manifestations and related laboratory findings or based on expert clinical experience clearly diagnosed pulmonary embolism in 25 patients. Results: There was a significant difference between male and female group in the age and operation history (p <0.05), but there was no statistical significance in long distance travel history, smoking history, pregnancy history, contraception history, body weight and trauma history. Clinical manifestations of all patients Category statistics: dyspnea, chest pain, hypoxemia in all patients a larger proportion. Coagulation of patients with statistical data: All patients with coagulation-related statistics: AT, APTT, TT, Fib, INR, D-dimer were higher than normal. Conclusion: The clinical manifestations of pulmonary embolism is not specific, easy misdiagnosis and mistreatment, clinical diagnosis should strengthen the awareness of the disease, early diagnosis and early treatment, reduce mortality.