肺动脉栓塞的诊断与治疗(附36例临床分析)  

The Clinical Diagnosis and Therapy for 36 Patients with Pulmonary Embolism

作　　者：韩澎湃[1] 杨久宇[1] 

机构地区：[1]内蒙古民族大学第二附属医院,内蒙古牙克石022150

出　　处：《黑龙江医学》2007年第6期417-417,445,共2页Heilongjiang Medical Journal

摘　　要：目的 对肺栓塞（PE）的患者进行临床诊治，评价早期诊断及治疗的意义。方法 1999—03～2005—03，我院收治的肺栓塞患者36例。对16例患者采取溶栓或导管介入治疗。结果 36例肺栓塞的患者初诊总误诊率为41．7％，总死亡率为22．2％；溶栓或介入治疗有效率为81．3％。结论 肺栓塞的误诊率高，死亡率高，提高早期诊断意识和水平，进行早期有效的治疗，是临床医生当务之急。溶栓和导管介入治疗肺栓塞是有效、安全的措施之一，尤其介入治疗有良好的前景。Objective To make a diagnosis and give treatment to PE early and evalvate their significance.Methods 36 patients with PE were treated from march of 1999 to 2005, and 16 patients of them received tranrterial thrombolysis or interventional therapy. Results The total misdiagnosis rate and death rate of these 36 patients were 41.7% and 22.2% respectively.The effective rate of tranrterial therapy was 81.3%. Conclusion 1. The misdiagnosis rate and death rate of PE are high. So in order to give effective treatment to PE early, it is a task of top priority for the clinical doctor to improve his consciousness and skill about PE. 2. tmnrtefial thromombolysis and interentional therapy are safe and effective treatments for PE.Especialy,as a method used to treat PE,the interventional therapy is promsing.

关 键 词：肺栓塞 早期诊断 治疗 导管介入 

分 类 号：R563.5[医药卫生—呼吸系统]