12例急性肺栓塞的临床诊治  

Clinical Diagnoses and Treatment of 12 Cases of Acute Pulmonary Embolism

作　　者：张凌[1] 白明[1] 张斗霞[1] 金阳[1] 李一鸣[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院呼吸内科,武汉430022

出　　处：《华中科技大学学报（医学版）》2006年第5期675-676,680,共3页Acta Medicinae Universitatis Scientiae et Technologiae Huazhong

基　　金：国家"十五"科技攻关资助项目(No.2001BA703B13)

摘　　要：目的观察急性肺栓塞不同溶栓和(或)抗凝治疗方案的效果。方法根据患者的临床表现、实验室检查、心电图、B超、核素灌注肺显像及螺旋CT肺动脉造影等确诊为急性肺栓塞并给予溶栓和(或)抗凝治疗,观察治疗3个月后的病情转归。结果12例患者中,溶栓+抗凝组9例,治愈3例;抗凝组3例,治愈1例;余病例好转,总有效率100%。结论急性肺栓塞患者明确诊断并经过合理的溶栓及抗凝治疗后,可以取得很好的治疗效果。Objective To evaluate the effects of different plans of thrombolytic and/or anticoagulation therapy. Methods The 12 patients were diagnosed and administered with thrombolytic and/or anticoagulation therapy respectively according to clinical manifestations, lab tests, electrocardiogram, ultrasonography, pulmonary perfusion imaging and CT angiograpgy. After treatment for 3 months, their prognosis was observed. Results Among 12 patients, 3 patients were cured in 9 patients who were treated with thrombolytic and anticoagulation therapy; and in 3 patients receiving anticoagulation therapy, one cured. The conditions of the remaining were improved. Total effective rate was 100%. Conclusion If the patients with acute PE are diagnosed properly and treated with sound thrombolytic and/or anticoagulation therapy, misdiagnosis and mortality can be reduced, and satisfactory effectiveness and prognosis can be achieved.

关 键 词：肺栓塞 溶栓治疗 抗凝治疗 

分 类 号：R563.5[医药卫生—呼吸系统]