论文部分内容阅读
目的 :了解肺栓塞 ( PE)的病因、临床特点、诊断、防治措施。方法 :回顾性分析了 2 6例 PE患者的病因、症状、体征、辅助检查结果及治疗、预防方法。结果 :2 6例均接受内科治疗 ,其中 4例给予滤器置入。治愈或改善 2 1例 ( 80 .8% ) ,未愈 3例 ( 1 1 .5 % ) ,死亡 2例( 7.7% )。结论 :PE主要由体循环深静脉内血栓引起 ,尤其下腔静脉系统 ;PE无特异性表现 ,易出现误诊、误治。要重视病因、症状、体征及辅助检查的分析。对确诊病例应给予及时、合理的治疗 -抗凝、溶栓、肺动脉介入和外科手术等。抗凝是防止血栓再形成的关键
Objective: To understand the etiology, clinical features, diagnosis, prevention and treatment of pulmonary embolism (PE). Methods: Retrospective analysis of 26 cases of PE etiology, symptoms, signs, auxiliary examination results and treatment, prevention methods. Results: Twenty-six patients received medical treatment, of which 4 were given filter placement. 21 cases were cured or improved (80.8%), 3 cases were unhealed (11.5%) and 2 died (7.7%). Conclusion: PE is mainly caused by systemic thrombosis in deep venous thrombosis, especially in inferior vena cava system. There is no specific manifestation of PE, which may lead to misdiagnosis and mistreatment. Should pay attention to the cause, symptoms, signs and ancillary examination of the analysis. The diagnosis of patients should be given timely and reasonable treatment - anticoagulation, thrombolysis, pulmonary intervention and surgery. Anticoagulation is the key to preventing thrombi from re-forming