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肺栓塞(PE)是致死性胸痛的第3大死亡原因,具有“三高一有效”的特点,即误诊和漏诊率高,再次PE率高,死亡率高,但对治疗有效。在没有核素显像及肺动脉造影技术的基层医院,诊断就更为困难,未经治疗的PE死亡率达25%~30%。现就我院近3年来诊治多例PE病例浅谈自己的诊治体会。1病历资料例1.男,34岁。因“咳嗽咯血伴胸痛3 d”收入院。
Pulmonary embolism (PE) is the third leading cause of fatal chest pain, with the characteristics of “three highs and one effective”, that is, the rate of misdiagnosis and misdiagnosis is high. PE rate is high again and the mortality rate is high, but the treatment is effective. In primary hospitals without radionuclide imaging and pulmonary angiography, diagnosis is even more difficult, with untreated PE rates of 25% to 30%. Now my hospital for nearly three years to diagnose and treat multiple PE cases talk about their own diagnosis and treatment experience. 1 medical record data 1. Male, 34 years old. Because “cough hemoptysis with chest pain 3 d ” income hospital.