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目的探讨简化肺栓塞严重性指数(s PESI)及联合检测的生化标志物在肺栓塞严重性及预后评价中的价值。方法选取2011年3月~2013年3月在我院进行治疗的肺栓塞患者154例,筛选其中主要终点事件和次要终点事件,应用s PESI对患者进行评估、检测患者血液生化指标和影像学,探讨各种指标在肺栓塞严重性及预后评价中的价值。结果 s PESI、B型钠尿肽≥514 pg/ml、超敏肌钙蛋白I≥0.1μg/L为主要终点事件的影响因素,s PESI为次要终点事件的影响因素。结论在肺栓塞短期预后评价中,s PESI、B型尿钠肽、超敏肌钙蛋白I是优秀的评价指标,能反映肺栓塞整体风险;在肺栓塞长期预后评价中,s PESI具有较高的价值,可被融合进肺栓塞的综合风险评价中。
Objective To investigate the value of simplified pulmonary embolism (s PESI) and the combined detection of biochemical markers in the severity of pulmonary embolism and prognosis. Methods A total of 154 patients with pulmonary embolism who were treated in our hospital from March 2011 to March 2013 were selected and their primary end points and secondary end points were screened. The patients were evaluated with s PESI, and the blood biochemical parameters and imaging , To explore the value of various indicators in the severity of pulmonary embolism and prognosis. Results s PESI, B-type natriuretic peptide ≥ 514 pg / ml, and hypersept troponin I ≥ 0.1 μg / L were the influencing factors of the primary endpoint. S PESI was the influencing factor of the secondary endpoint. Conclusion In the short-term evaluation of pulmonary embolism, s PESI, B-type natriuretic peptide and hypersensitive troponin I are excellent indexes to reflect the overall risk of pulmonary embolism. In the long-term prognosis of pulmonary embolism, s PESI is higher The value, can be integrated into the comprehensive risk assessment of pulmonary embolism.