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目的探讨肺血栓栓塞症的临床特征、诊断和治疗,以提高其诊断率和治愈率。方法对45例确诊为肺血栓栓塞症患者的临床资料进行回顾性分析。结果41例抗凝治疗患者中有1例患者因病情进行性加重而死亡,其余患者均症状缓解后出院。4例溶栓治疗者中死亡1例,其余3例3d内症状缓解。结论肺血栓栓塞症临床表现缺乏特异性,易误诊,早期诊断至关重要,及时抗凝和溶栓治疗可提高治愈率。
Objective To investigate the clinical features, diagnosis and treatment of pulmonary thromboembolism in order to improve its diagnosis rate and cure rate. Methods The clinical data of 45 patients diagnosed as pulmonary thromboembolism were retrospectively analyzed. Results Of 41 patients with anticoagulant therapy, 1 patient died of aggravating the disease and the rest were discharged after relieved symptoms. One patient died of thrombolysis in 4 patients, and the other 3 patients were relieved of symptoms within 3 days. Conclusions The clinical manifestations of pulmonary thromboembolism are lack of specificity, easy to misdiagnosis, early diagnosis is crucial, timely anticoagulation and thrombolytic therapy can improve the cure rate.