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目的探讨肺栓塞的临床特点及诊断治疗措施。方法对我院近1年余25例肺栓塞患者采用回顾性分析,了解肺栓塞的临床诊治情况。结果 25例中22例行抗凝治疗后症状得到不同程度缓解,9例出现呼吸衰竭,3例经治疗无效死亡。结论肺栓塞的症状及体征缺乏特异性,易误诊,但螺旋CT增强肺动脉扫描可明确诊断,确诊后经积极抗凝治疗,可取得较好的治疗效果。
Objective To investigate the clinical features and diagnosis and treatment of pulmonary embolism. Methods A retrospective analysis was performed on 25 cases of pulmonary embolism in our hospital in the past year to understand the clinical diagnosis and treatment of pulmonary embolism. Results Twenty-two of 25 patients were treated with anticoagulant therapy and their symptoms were relieved to varying degrees. Respiratory failure occurred in 9 patients and died in 3 patients after treatment. Conclusions The symptoms and signs of pulmonary embolism are not specific and easily misdiagnosed. However, pulmonary CT scan with enhanced spiral CT can confirm the diagnosis. After positive diagnosis, positive anticoagulant therapy can achieve better therapeutic effect.