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急性肺栓塞(acute pul monary cmbolism,PE)是以各种栓子阻塞肺动脉系统为其发病原因的一组疾病或临床综合征的总称。包括肺血塞栓塞症、脂肪栓塞综合征、羊水栓塞、空气栓塞等。由于其临床发病率高,误诊、漏诊率高,病死率高,因此及时正确的诊断就显的尤为重要。国外有文献报道,未经治疗的肺栓塞患者病死率可达90%,经过积极正确治疗病死率可降至10%。而国内病死率1997年为25%,2008年降至8%左右。笔者就近年来PE的临床诊断方法作一综述。
Acute pulmonary embolism (PE) is a general term for a group of diseases or clinical syndromes that cause the pulmonary embolism to block the pulmonary artery system. Including pulmonary embolism embolism, fat embolism syndrome, amniotic fluid embolism, air embolism. Because of its high incidence of clinical, misdiagnosis, misdiagnosis rate, high mortality, so timely and correct diagnosis is particularly important. Foreign literature has reported that patients with untreated pulmonary embolism mortality rate of up to 90%, after a positive and correct treatment of mortality can be reduced to 10%. The domestic case fatality rate was 25% in 1997 and dropped to about 8% in 2008. In recent years, I reviewed the clinical diagnosis of PE.