论文部分内容阅读
目的:分析肺动脉血栓栓塞症(PTE)的临床特征、诊断方法及治疗。提高诊断率和治愈率,改善预后。方法:回顾分析我院过去七年间收治的25例PTE患者的危险因素、临床表现、辅助检查、治疗情况等临床资料。结果:PTE的危险因素有深静脉血栓、高龄、心肺疾病、长期卧床等慢性基础疾病以及近期手术、外伤史等。其临床表现各异,D-二聚体、CT肺动脉造影(CTPA)敏感性高。结论:PTE临床表现多样,D-二聚体可作为筛选检查首选;CT-PA可作为无创检查之首选。确诊后正确及时治疗可使预后显著改善。
Objective: To analyze the clinical features, diagnosis and treatment of pulmonary thromboembolism (PTE). Improve the diagnosis rate and cure rate, improve the prognosis. Methods: Retrospective analysis of 25 cases of PTE in our hospital over the past seven years, the risk factors, clinical manifestations, laboratory examinations, treatment and other clinical data. Results: The risk factors of PTE were chronic basic diseases such as deep venous thrombosis, advanced age, cardiopulmonary diseases, long-term bed rest and the recent history of surgery and trauma. Their clinical manifestations vary, D-dimer, CT pulmonary angiography (CTPA) high sensitivity. Conclusion: The clinical manifestations of PTE are diverse. D-dimer can be the first choice of screening test. CT-PA can be the first choice of noninvasive examination. Correct diagnosis of timely treatment can significantly improve the prognosis.