急性肺血栓栓塞症57例临床特点分析  

Analysis of clinical character in 57 patients with acute pulmonary thromboembolism

作　　者：康丽君[1] 费建文[1] 于鹏飞[1] 唐燕[1] 

机构地区：[1]烟台市烟台山医院,山东烟台264000

出　　处：《山东医药》2009年第21期19-21,共3页Shandong Medical Journal

基　　金：国家"十五"科技攻关课题资助项目(2001BA703B15)

摘　　要：目的分析肺血栓栓塞症(PTE)的临床特点,提高其早期诊断率。方法回顾性分析57例PTE患者的临床特点。结果PTE患者临床表现缺乏特异性,常伴有深静脉血栓形成、创伤和(或)骨折、心血管疾病等危险因子;动脉血气分析、D-二聚体、心电图检查可提示PTE;超声心动图对PTE有诊断作用;螺旋CT肺动脉血管造影(CTPA)是确诊PTE较可靠的方法。结论PTE是常见的肺血管疾病,对有症状的高危患者应及早行CTPA检查,以明确诊断。Objective Analyzing the clinical characteristics of pulmonary thromboembolism（VIE） was to improve the early diagnostic rate. Methods Clinical data of 57 patients with PTE were retrospectively analyzed. Results The clinical manifestations of PTE were not specific. Blood gas analysis, electrocardiography and D-dimer testing were predictive for PTE. Echoeardiography was a common diagnostic technique for PTE. CT pulmonary angiography （ CTPA ） was a reliable method for diagnosing VIE. Conclusion PTE is a common disease involved in the lung vasculature. High risk patients should have diagnostic tests early, such as CTPA.

关 键 词：肺栓塞 诊断 临床特点 

分 类 号：R563[医药卫生—呼吸系统]