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目的探讨对疑似肺栓塞病人危险因素、临床表现及辅助检查结果的评估,以提高肺栓塞确诊率,减少误诊和漏诊。方法对疑似肺栓塞患者32例,其中临床确诊19例临床资料进行回顾性分析。结果疑似肺栓塞32例,有一项或多项危险因素23例;根据临床表现,结合各项辅助检查结果进行临床诊断评估,排除肺栓塞13例,临床确诊19例,其中死亡6例。结论临床医生应重视对疑似肺栓塞病人的临床诊断评估,特别是危险因素进行追踪分析可以显著提高肺栓塞的确诊率,减少误诊和漏诊,使患者得到及时有效的治疗。
Objective To investigate the risk factors, clinical manifestations and the results of laboratory examinations in patients with suspected pulmonary embolism to improve the diagnosis rate of pulmonary embolism and reduce the misdiagnosis and missed diagnosis. Methods 32 cases of suspected pulmonary embolism patients, including 19 clinically diagnosed clinical data were retrospectively analyzed. Results Suspected pulmonary embolism in 32 cases, one or more risk factors in 23 cases; according to clinical manifestations, combined with various auxiliary examination results for clinical diagnosis and evaluation, excluding pulmonary embolism in 13 cases, 19 cases were clinically diagnosed, of which 6 died. Conclusion Clinicians should attach importance to the clinical diagnosis of patients suspected of pulmonary embolism, especially the follow-up of risk factors can significantly improve the diagnosis of pulmonary embolism, reduce misdiagnosis and missed diagnosis, so that patients receive timely and effective treatment.