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目的:探讨肺栓塞患者的临床特点及治疗方案,提高肺栓塞的临床诊治水平。方法:调查绍兴县中心医院及台州医院2010年8月-2013年8月收治并确诊为肺栓塞患者的临床资料,统计分析患者的临床特点、诊断要点及治疗方法。结果:肺栓塞患者主要表现为呼吸困难和心悸等临床症状以及呼吸加快、心动过速、肺罗音和发绀等临床体征。32例患者接受溶栓治疗,死亡2例;56例患者接受抗凝治疗,死亡7例;40例患者接受溶栓联合抗凝治疗,死亡1例。结论:肺栓塞患者临床症状及体征无特异性,诊断难度高,应加强诊断技术联合应用,提高肺栓塞临床诊断水平;溶栓治疗和抗凝治疗相结合,提高临床治愈率。
Objective: To investigate the clinical features and treatment of patients with pulmonary embolism and to improve the clinical diagnosis and treatment of pulmonary embolism. Methods: The clinical data of patients with pulmonary embolism admitted to Taoxing Central Hospital and Taizhou Hospital from August 2010 to August 2013 were investigated. The clinical features, diagnosis points and treatment methods were statistically analyzed. Results: The main symptoms of pulmonary embolism were clinical symptoms such as dyspnea and palpitations, as well as clinical signs such as respiration, tachycardia, pulmonary rales and cyanosis. 32 patients received thrombolytic therapy, 2 patients died; 56 patients received anticoagulant therapy, 7 patients died; 40 patients received thrombolysis combined with anticoagulant therapy, 1 patient died. Conclusion: There is no specific clinical symptoms and signs in patients with pulmonary embolism. It is difficult to diagnose. The combination of diagnostic techniques should be strengthened to improve the clinical diagnosis of pulmonary embolism. The thrombolytic therapy and anticoagulant therapy should be combined to improve the clinical cure rate.