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目的结合2008年欧洲心脏病协会颁布的新急性肺栓塞(PE)诊治指南,回顾性分析PE的危险分层。方法总结2006年1月至2011年6月我院临床诊断的38例急性PE病例的临床资料,并对其进行危险分层分析,根据危险分层采取相对应的治疗措施。结果 38例中高危组13例(34.21%),中危组21例(55.26%),低危组4例(10.53%)。13例高危患者中11例进行溶栓或血栓清除术治疗,2例仅抗凝治疗;低危组4例中,1例进行溶栓治疗。结论在临床工作中应该注意进行PE的危险分层,并根据危险分层指导PE的治疗。
Objective To retrospectively analyze the risk stratification of PE in combination with the guidelines of diagnosis and treatment of new acute pulmonary embolism (PE) issued by the European Society of Cardiology in 2008. Methods The clinical data of 38 patients with acute PE diagnosed in our hospital from January 2006 to June 2011 were summarized and analyzed according to the risk stratification and the corresponding treatment according to the risk stratification. Results Thirty-seven cases (34.21%) were in middle and high risk group, 21 cases (55.26%) in intermediate risk group and 4 cases (10.53%) in low risk group. Eleven of the 13 high-risk patients underwent thrombolysis or thrombectomy and two received anticoagulation alone. One of the four patients in the low-risk group received thrombolysis. Conclusion In clinical work, we should pay attention to the risk stratification of PE and guide the treatment of PE according to the risk stratification.