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目的探讨肺血栓栓塞症(PTE)临床特点、诊断与治疗方法,提高对PTE的诊断率和治愈率。方法广州医学院第一附属医院对60例PTE病人临床特点和多种诊断技术进行回顾及分析,治疗方法主要是溶栓和抗凝。结果主要临床特点有呼吸困难、咳嗽、胸痛、咯血、发热。诊断方法应用螺旋CT肺动脉造影(CTPA)、核素肺通气+灌注(V/Q)显像、彩色超声多普勒检查。治疗方法有溶栓和抗凝。PaO2溶栓前后比较和CTPA溶栓前后比较,差异均有极显著性(P<0.01)。结论螺旋CTPA是确诊PTE的重要方法。PTE经溶栓治疗能较快改善缺氧症状、提高氧分压,改善过度通气,血管再通较快。
Objective To investigate the clinical features, diagnosis and treatment of pulmonary thromboembolism (PTE) and to improve the diagnosis and cure rate of PTE. Methods The First Affiliated Hospital of Guangzhou Medical College reviewed and analyzed the clinical features and various diagnostic techniques of 60 PTE patients. The treatment methods were mainly thrombolysis and anticoagulation. Results The main clinical features of dyspnea, cough, chest pain, hemoptysis, fever. Diagnostic methods Spiral CT pulmonary angiography (CTPA), radionuclide ventilation / perfusion (V / Q) imaging, color Doppler ultrasound examination. Thrombolytic therapy and anticoagulation. PaO2 before and after thrombolysis compared with CTPA before and after thrombolysis, the differences were significant (P <0.01). Conclusion CTPA is an important method for the diagnosis of PTE. PTE thrombolytic therapy can quickly improve the symptoms of hypoxia, improve oxygen partial pressure, improve hyperventilation, rapid recanalization.