普胸术后肺栓塞23例临床分析  

Clinical analysis of pulmonary embolism in 23 postoperative patients with chest disease

作　　者：黄朝林[1] 陈兆辉[1] 倪正义 周密[1] 许俊[1] 

机构地区：[1]武汉市医疗救治中心胸外科,湖北武汉430023

出　　处：《临床肺科杂志》2011年第5期705-706,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的探讨普胸术后肺栓塞的临床特点、诊断方法和治疗措施及预后。方法对我院2000年1月～2010年10月普胸术后的肺栓塞患者23例进行临床分析。结果23例肺栓塞患者，出现呼吸困难18例，胸痛15例，咯血4例，发热5例，晕厥3例；17例经肺增强CT或CT肺动脉造影明确诊断，23例均行99MTC肺灌注扫描，表现为段性或叶性放射性稀疏或缺损。结论肺栓塞临床表现多样，诊断需结合易患因素，CT肺动脉造影、99MTC肺灌注扫描可帮助明确诊断。早期正确治疗PE，可减少死亡率。Objective To investigate the clinical characteristics, diagnosis and treatment for pulmonary embolism （PE） in patients after chest operation. Methods The clinical data of 23 patients who developed pulmonary embolism after chest operation were retrospective analysed. Results In all 23 PE patients, dyspnea was observed in 18 cases, chest pain in 15 cases, haemoptysis in 4 cases, fever in 5 cases, syncope in 3 patients,. 17 patients were diagnosed by enhanced chest CT scaning. Segmental or lobar radioactive sparse or defects were found in all cases in 99MTC lung perfusion scaning. Conclusion The clinical manifestation of pulmonary embolism varied significantly, CT, 99MTC pulmonary lung perfusion scaning can be of help to clear diagnosis. Early and correct treatment can reduce mortality.

关 键 词：普胸术后 肺栓塞 诊断 治疗 

分 类 号：R563.5[医药卫生—呼吸系统] R655[医药卫生—内科学]