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目的提高对肺栓塞诊断和治疗的认识。方法回顾我院心脏内科收治的拟诊为心血管疾病的21例肺栓塞患者的临床资料,讨论其临床特点、诊断方法、治疗方法及预后。结果所有病人均进行溶栓和/或抗凝治疗,2例使用介入治疗,治愈率90.4%,好转率4.8%,病死率4.8%。结论提高肺栓塞的诊断意识,仔细搜集病史及认真的体格检查,结合必要的实验室及影像学检查,可提高肺栓塞的诊断率和治愈率。
Objective To improve the diagnosis and treatment of pulmonary embolism. Methods The clinical data of 21 patients with pulmonary embolism who were diagnosed as cardiovascular diseases admitted to our department of cardiology were retrospectively reviewed. The clinical features, diagnosis, treatment and prognosis were discussed. Results All patients underwent thrombolysis and / or anticoagulation. Two patients were treated with interventional therapy. The cure rate was 90.4%, the improvement rate was 4.8% and the mortality rate was 4.8%. Conclusion To improve the diagnosis of pulmonary embolism, careful collection of medical history and serious physical examination, combined with the necessary laboratory and imaging studies, can improve the diagnostic rate and cure rate of pulmonary embolism.