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为了提高肺栓塞(PE)的认识,本文对24例经放射性核素肺通气/灌注扫描(V/Q)或肺动脉造影(CPA)证实的该病患者进行了回顾性分析。发现下肢静脉血栓形成(DVT),慢性心肺疾病及恶性肿瘤等是PE的主要病因。PE的症状和体征是非特异性的,常见X线、动脉血气分析、心电图(ECG)、超声心动图(UCG)等均有助于其诊断,但V/Q更为方便和可靠。认为溶栓联合抗凝是目前治疗PE的首选方案。
In order to improve our understanding of pulmonary embolism (PE), we retrospectively analyzed 24 patients confirmed by radionuclide pulmonary ventilation / perfusion scan (V / Q) or pulmonary arteriography (CPA). Found that lower extremity venous thrombosis (DVT), chronic heart and lung disease and malignant tumor is the main cause of PE. The symptoms and signs of PE are nonspecific. Common X-ray, arterial blood gas analysis, electrocardiogram (ECG) and echocardiography (UCG) are all helpful in the diagnosis of PE. However, V / Q is more convenient and reliable. That thrombolysis combined anticoagulation is the preferred treatment of PE.