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目的:探讨高海拔地区肺栓塞的诊断及治疗效果。方法:对2009年1月—2011年12月入院并确诊的12例患者的临床表现、检查、诊断及治疗方法进行回顾性分析。结果:12例高海拔地区肺栓塞患者治疗后8例症状好转出院,1例因病情进行性加重家属放弃治疗自动出院,1例因肿瘤晚期、全身衰竭死亡,2例突发四肢抽搐、意识不清,呼吸、心跳停止,予以持续心肺复苏失败宣布死亡。结论:在高海拔地区肺栓塞的发病与易患因素密切相关,肺栓塞的临床症状、体征不典型,需结合实验室检查进行诊断,溶栓及抗凝治疗可提高患者生存率,早期识别和及时治疗对肺栓塞极为重要。
Objective: To investigate the diagnosis and treatment of pulmonary embolism in high altitude area. Methods: The clinical manifestations, examination, diagnosis and treatment of 12 patients admitted to our hospital from January 2009 to December 2011 were retrospectively analyzed. Results: Twelve patients with pulmonary embolism in high altitude were relieved of symptoms after 8 weeks of treatment. One patient was discharged due to progressive illness. One patient died of advanced tumor and systemic failure and two had convulsions of sudden limbs. Clear, breathe, stopped heartbeat, failed CPR to declare death. Conclusion: The incidence and risk factors of pulmonary embolism in high altitude areas are closely related. The clinical symptoms and signs of pulmonary embolism are not typical. Diagnosis and treatment should be combined with laboratory tests. Thrombolysis and anticoagulation therapy can improve the survival rate, early identification and Prompt treatment of pulmonary embolism is extremely important.