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目的探讨脑梗死急性期合并肺栓塞的临床特点。方法回顾性分析脑梗死急性期合并肺栓塞患者的年龄、住院日期、可能危险因素、实验室指标、影像学特点及治疗。结果脑梗死急性期合并肺栓塞患者的住院时间明显延长(P<0.01);脑梗死急性期合并肺栓塞患者的D二聚体、FIB、Hcy、CRP、MPV、PLCR水平均增高(P<0.01)。结论脑梗死急性期合并肺栓塞不少见,临床无明显特异性,应高度重视高危患者,加强D二聚体、Hcy、CRP及血小板功能的检测意识,及时抗凝治疗可明显改善预后。
Objective To investigate the clinical features of acute cerebral infarction complicated with pulmonary embolism. Methods A retrospective analysis of patients with acute cerebral infarction complicated by pulmonary embolism patients age, hospitalization date, possible risk factors, laboratory parameters, imaging features and treatment. Results The hospitalization time of acute cerebral infarction patients with pulmonary embolism was significantly longer (P <0.01). The levels of D dimers, FIB, Hcy, CRP, MPV and PLCR in patients with acute cerebral infarction complicated by pulmonary embolism were significantly higher ). Conclusion Acute cerebral infarction complicated with pulmonary embolism is not uncommon, no obvious clinical specificity, should attach great importance to high-risk patients, to strengthen the detection of D dimer, Hcy, CRP and platelet function, timely anticoagulant therapy can significantly improve the prognosis.