肺血栓栓塞症1例报告并文献复习  

Repart of a pulmonary thrombotic embolism and review of literatures

作　　者：孙晓[1] 王玉春[1] 

机构地区：[1]青岛市海慈医院,青岛266033

出　　处：《现代医药卫生》2005年第5期521-522,共2页Journal of Modern Medicine & Health

摘　　要：目的 :探讨肺血栓栓塞症的高危因素、临床特点和诊断方法。方法 :结合收治的1例青年男性患者的临床资料及复习文献 ,对肺血栓栓塞症的发病因素和诊断方法进行综合分析。结果 :本例患者主要表现为胸痛、咯血和呼吸困难 ,伴有下肢深静脉炎史 ,后经肺动脉造影证实右下肺动脉部分分支阻塞。结论 :应充分认识肺血栓栓塞症的高危因素 ,对可疑病例应认真采集病史和查体 ,积极进行相关检查 :血气分析 ;D -二聚体 ;胸片或肺CT;心脏及血管超声 ;肺动脉造影等 ,尽量减少漏诊误诊。Objective:To investigate the high jeopardy diathesis,clinical characteristic and diagnostic method of pulmonary thrombotic emˉbolism.Methods:The pathogenetic factor and diagnostic method of pulmonary thrombotic embolism were synthetically analyzed by using the clinˉical datumof a young male patient with this disease treated in our hospital combined with the reviewof literatures.Results:The main manifestation of this case had thorax pain,fever,emptysis and dyspnea,in association with deep phlebitis at lower limb,And partial branching obstruction was found at right lower part of pulmonary artery confirmed by pulmonary arteriography.Conclusion:It is of particular importance to understand the high jeopardy diathesis of pulmonary thrombotic embolism.Gathering the case history and checking the physical sign conscientiously,as well as performing the related examination actively such as blood gas analysis,D-dimeric,Chest photography or CT,blood vessel and heart of B-mode ultrasound,pulmonary arteriography and so on,reduce the misdiagnosis of this disease as far as possible.

关 键 词：肺血栓栓塞症 肺动脉造影 患者 文献复习 高危因素 诊断方法 查体 结论 目的 采集 

分 类 号：R563.5[医药卫生—呼吸系统] R543[医药卫生—内科学]