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目的研究急性肺动脉血栓栓塞的临床、心电图和心脏彩超特征。方法选取我院2007年1月-2012年12月CT肺动脉血管成像确诊的急性肺动脉血栓栓塞病例,通过病例资料采集表收集其临床表现特点,记录心电图及心脏彩超结果。结果共检出急性肺动脉血栓栓塞病例120例,平均年龄59.4岁,男性72例,女性48例。呼吸困难患者约占59%,胸痛约35%,咯血约占13%;心电图异常者约61%,心脏彩超异常者约69%。结论急性肺动脉血栓栓塞的临床表现多样且缺乏特异性,心电图及心脏彩超出现相应异常时要高度警惕肺栓塞的诊断。
Objective To study the clinical, electrocardiographic and cardiac color Doppler echocardiography of acute pulmonary thromboembolism. Methods Acute pulmonary thromboembolism confirmed by CT pulmonary angiography in our hospital from January 2007 to December 2012 was selected. The clinical manifestations were collected through the case data collection table, and the results of electrocardiogram and echocardiography were recorded. Results A total of 120 cases of acute pulmonary thromboembolism were detected, with an average age of 59.4 years, 72 males and 48 females. About 59% of patients with dyspnea, chest pain about 35%, hemoptysis about 13%; about 61% of abnormal ECG, about 69% of abnormal color Doppler ultrasound. Conclusion The clinical manifestations of acute pulmonary thromboembolism varied and lack of specificity, ECG and cardiac abnormalities should be highly alert to the diagnosis of pulmonary embolism.