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目的 探讨急性肺栓塞的临床特点、诊断及治疗方法 ,以提高该病诊断率。方法 1 997年 1月— 2 0 0 3年 8月在我院住院的急性肺栓塞 37例 ,结合文献对其临床表现 ,影像学特点 ,诊断及治疗方法进行分析总结。结果 急性肺栓塞临床表现不特异 ,表现为呼吸困难 (84% )、胸痛 (59% )、咯血 (35 % )、咳嗽 (32 % )、惊恐 (41 % )、晕厥 (2 2 % )、心悸 (2 4 % )。影像学特点呈多样性表现 ,主要治疗方法为溶栓抗凝治疗。结论 急性肺栓塞临床表现不典型 ,易误诊 ,提高对该病的认识有利于早期诊断 ,无创性检查在确诊中占重要地位 ,及时溶栓抗凝等治疗对预后起关键作用。
Objective To investigate the clinical features, diagnosis and treatment of acute pulmonary embolism in order to improve the diagnosis rate of the disease. Methods From January 1997 to August 2003, 37 hospitalized patients with acute pulmonary embolism in our hospital were analyzed and analyzed according to their clinical manifestations, imaging features, diagnosis and treatment methods. Results The clinical manifestations of acute pulmonary embolism were nonspecific and manifested as dyspnea (84%), chest pain (59%), hemoptysis (35%), cough (32%), panic attack (41%), syncope (22% (twenty four % ). Imaging features showed a diversity of performance, the main treatment for thrombolysis anticoagulant therapy. Conclusions The clinical manifestations of acute pulmonary embolism are not typical, easy to misdiagnosis, improve understanding of the disease is conducive to early diagnosis, noninvasive examination plays an important role in the diagnosis, timely thrombolytic anticoagulation and other treatment plays a key role in prognosis.