20例肺动脉栓塞症的临床分析  

Clinical Analysis of 20 Pulmonary Thromboembolism

作　　者：杜紫燕[1] 朱晓良[1] 施敏骅[1] 胡华成[1] 

机构地区：[1]苏州大学附属第二医院呼吸科,江苏苏州215004

出　　处：《中国血液流变学杂志》2008年第4期541-543,545,共4页Chinese Journal of Hemorheology

摘　　要：目的探讨肺动脉栓塞症的临床特点。方法回顾性分析20例确诊为肺动脉栓塞的临床资料。结果肺动脉栓塞症临床表现缺乏特异性。多数患者存在危险因素,呼吸困难和胸痛为最常见的症状。动脉血气分析、血D-二聚体、心电图、胸片、超声心动图对肺动脉栓塞症的诊断有参考价值,同位素核素灌注扫描、螺旋CT具有无创和高敏感性的特点,肺动脉造影是最为可靠的辅助检查。结论肺动脉栓塞临床表现不典型,易被漏诊误诊,临床工作中应增强对肺动脉栓塞症的诊断意识,结合适当的辅助检查手段,以期达到早期诊断、降低病死率的目的。Objective To explore the clinical features of pulmonary thromboembolism(PTE).Methods Clinical data of 20 patients with PTE were analyzed retrospectively.Results Clinical manifestation of PTE was often lack of specificity,most patients had risk factors.Dyspnea and chest pain were the most common symptoms.Blood gas analysis,D-dimer testing,electrocardiogram,chest X-ray and ultrasonography were predictive for PTE.Lung perfusion scan,spiral CT were non-invasive and high sensitive.Pulmonary arteriography were th...

关 键 词：肺动脉栓塞症 诊断 治疗 

分 类 号：R563.5[医药卫生—呼吸系统]