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目的:探讨慢性肺栓塞患者的临床特征,分析其被误诊为冠心病的原因及防治措施和临床疗效。方法:选取来我院诊治的初诊为冠心病,后确诊为慢性肺栓塞的患者20例均给予药物综合疗法进行治疗。结果:20例患者经以确诊治疗后,临床主要症状得到显著改善,其血气分析值与治疗前相比有显著改善,治疗前后比较差异具有统计学意义(P<0.05)。其超声心动、左室射血分数以及肺动脉压等指标与治疗前相比有显著改善,治疗前后比较差异具有统计学意义(P<0.05)。结论:临床在进行慢性肺栓塞的治疗中需加强提高对慢性肺栓塞的诊断意识,需及时对患者进行血气分析和D-二聚体检测,才能降低误诊率,避免延误治疗。
Objective: To investigate the clinical characteristics of patients with chronic pulmonary embolism, analysis of its causes of misdiagnosed as coronary heart disease and prevention and treatment measures and clinical efficacy. Methods: 20 cases of newly diagnosed CHD patients diagnosed as CHD were selected and treated by comprehensive drug therapy. Results: After the diagnosis and treatment, the main clinical symptoms of 20 patients were significantly improved. The blood gas analysis value was significantly improved compared with that before treatment. The difference was statistically significant before and after treatment (P <0.05). The echocardiography, left ventricular ejection fraction and pulmonary arterial pressure and other indicators were significantly improved compared with before treatment, before and after treatment, the difference was statistically significant (P <0.05). Conclusion: In the clinical treatment of chronic pulmonary embolism need to enhance awareness of the diagnosis of chronic pulmonary embolism, the need for timely blood gas analysis and D-dimer test in patients in order to reduce the misdiagnosis rate, to avoid delay treatment.