论文部分内容阅读
目的探讨肺栓塞的临床表现、诊断与治疗方法,以提高对该症的早期确诊率及治疗水平。方法对2006-01-2011-05确诊的94例肺栓塞患者的临床资料进行回顾性分析。结果肺栓塞的症状和体征不典型,有多种高危因素存在,CT肺动脉造影(CTPA)可用于该症确诊手段。本组误诊16例,94例患者中有92例康复出院,2例溶栓后并发脑出血死亡。结论肺栓塞的临床症状、体征不典型,需重视高危因素,必要时行CTPA以明确诊断,及时规范的治疗可提高患者生存率。
Objective To investigate the clinical manifestations, diagnosis and treatment of pulmonary embolism in order to improve the early diagnosis and treatment of the disease. Methods The clinical data of 94 patients with pulmonary embolism diagnosed from January 2006 to May 2011 were retrospectively analyzed. Results The symptoms and signs of pulmonary embolism were not typical, there are many risk factors exist, CT pulmonary angiography (CTPA) can be used for the diagnosis of the disease means. In this group, 16 cases were misdiagnosed, 92 of 94 patients were discharged from hospital, and 2 died of cerebral hemorrhage after thrombolysis. Conclusion The clinical symptoms and signs of pulmonary embolism are not typical. High risk factors need to be emphasized. If necessary, CTPA should be used to confirm the diagnosis. Timely and standard treatment can improve the survival rate of patients.