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目的对采用心血管超声于诊断肺动脉栓塞的应用价值进行分析。方法选取我院2014年4月~2016年6月收治的肺动脉栓塞患者90例作为研究对象,观察患者超声影像学资料。结果 (1)共59例出现心脏形态改变与肺动脉收缩压明显升高(65.5%);28例患者发现合并下肢深静脉栓塞(31.1%),双侧24例,单侧4例。(2)三尖瓣反流程度中轻度者71例,重度者19例。中轻度与重度患者反流速度,差异有统计学意义(P<0.05);肺动脉收缩压,差异有统计学意义(P<0.05)。结论心血管超声检查诊断肺动脉栓塞具有较高的临床价值,值得推广。
Objective To analyze the value of using cardiovascular ultrasound in the diagnosis of pulmonary embolism. Methods Totally 90 patients with pulmonary embolism who were treated in our hospital from April 2014 to June 2016 were selected as the study objects, and the imaging data of the patients were observed. Results (1) A total of 59 cases showed cardiac morphological changes and pulmonary artery systolic pressure was significantly increased (65.5%); 28 cases were found with deep venous thrombosis (31.1%), bilateral in 24 cases, unilateral in 4 cases. (2) The degree of tricuspid regurgitation in 71 cases mild, 19 cases of severe. The mild and severe reflux rate in patients with moderate and severe was significantly different (P <0.05). The pulmonary artery systolic pressure was significantly different (P <0.05). Conclusion The diagnosis of pulmonary embolism by cardiovascular ultrasound is of high clinical value and worthy of promotion.