论文部分内容阅读
目的:探讨急性肺栓塞(PTE)患者的临床表现、诊断和治疗。方法:对36例PTE患者资料行回顾性分析。结果:90%的患者PTE临床可能性测评分数>6分。47%的患者伴下肢深静脉血栓,77%的患者存在低氧血症,97%的患者D-二聚体升高,78%的患者超声心动图示肺动脉压升高。结论:PTE患者症状和体征临床表现不完全一致,其最常见诱因为下肢深静脉血栓形成,对疑诊的患者应进行PTE临床可能性测评,常规筛查心电图、血气分析、血液生化、D-二聚体及超声心动图,高度怀疑者进一步检查肺部螺旋CT增强扫描及肺动脉造影。r-TPA静脉溶栓及低分子肝素及华法林抗凝治疗效果良好。
Objective: To investigate the clinical manifestations, diagnosis and treatment of patients with acute pulmonary embolism (PTE). Methods: The data of 36 PTE patients were retrospectively analyzed. Results: Ninety percent of patients had a PTE clinical evaluation score> 6. 47% had deep venous thrombosis of the lower extremities, 77% had hypoxemia, 97% had an increased D-dimer, and 78% had elevated pulmonary arterial pressure. Conclusion: The clinical manifestations of symptoms and signs in patients with PTE are not exactly the same. The most common cause is deep venous thrombosis of lower extremities. Patients with suspected PTE should be evaluated for clinical possibility, routine screening electrocardiogram, blood gas analysis, blood biochemistry, D- Dimers and echocardiography, a high degree of skepticism further examination of enhanced lung CT scan and pulmonary angiography. r-TPA intravenous thrombolysis and low molecular weight heparin and warfarin anticoagulant effect is good.