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目的总结肺血栓栓塞症(PTE)的临床特点。方法回顾性分析48例PTE患者的临床特点。结果 PTE患者常伴有深静脉血栓形成、创伤和(或)骨折、心血管疾病等危险因素;动脉血气分析、D-二聚体、心电图检查可提示PTE;超声心动图对PTE有诊断作用;螺旋CT肺动脉血管造影(CTPA)是确诊PTE的可靠方法。结论 PTE是心血管疾病中的常见病,对有症状的高危患者应及早行CTPA检查,以明确诊断。
Objective To summarize the clinical features of pulmonary thromboembolism (PTE). Methods The clinical features of 48 PTE patients were retrospectively analyzed. Results Patients with PTE were often associated with risk factors such as deep venous thrombosis, trauma and / or fracture and cardiovascular disease. Arterial blood gas analysis, D-dimer and electrocardiogram showed PTE. Echocardiography had diagnostic value for PTE. Spiral CT pulmonary angiography (CTPA) is a reliable method for the diagnosis of PTE. Conclusions PTE is a common disease in cardiovascular diseases. CTPA should be performed as soon as possible in symptomatic high-risk patients to confirm the diagnosis.