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目的:探讨急性肺栓塞的临床特点、诊断,以提高该病的诊断率。方法:选择2005年1月～2009年5月在我院住院治疗的急性肺栓塞患者21例。结合文献对其临床表现、影像学特点、诊断及治疗方法进行分析总结。结果:急性肺栓塞临床表现不特异。表现为呼吸困难(84%)、胸痛(59%)、咯血(35%)、咳嗽(32%)、恐惧(41%)、晕厥(22%)、心悸(24%)影像学特点呈多样性改变。主要治疗方法为溶栓抗凝治疗。结论:急性肺栓塞临床表现不典型,易误诊。提高对该病的认识有助于早期诊断,无创检查在确诊中起重要地位,及时溶栓抗凝对预后起关键作用。
Objective: To investigate the clinical features and diagnosis of acute pulmonary embolism in order to improve the diagnosis rate of the disease. Methods: Twenty-one patients with acute pulmonary embolism who were hospitalized in our hospital from January 2005 to May 2009 were selected. Combined with the literature on its clinical manifestations, imaging features, diagnosis and treatment methods were analyzed and summarized. Results: The clinical manifestations of acute pulmonary embolism are not specific. (84%), chest pain (59%), hemoptysis (35%), cough (32%), fear (41%), syncope (22%) and palpitations (24% change. The main treatment for thrombolytic anticoagulant therapy. Conclusion: The clinical manifestations of acute pulmonary embolism is not typical, easily misdiagnosed. Awareness of the disease to improve early diagnosis, non-invasive examination plays an important role in the diagnosis, timely thrombolytic anticoagulation plays a key role in prognosis.