56例肺血栓栓塞症临床分析  

Clinical analysis of 56 patients with pulmonary thrombo-Embolism

作　　者：高媛[1] 谭明旗[1] 郑锐[1] 陈莹莹[1] 

机构地区：[1]中国医科大学附属盛京医院第二呼吸内科,110004

出　　处：《辽宁医学杂志》2011年第2期57-59,共3页Medical Journal of Liaoning

摘　　要：目的总结肺血栓栓塞症(PTE)的临床特征及辅助检查,提高临床医生对PTE发病机制及诊断治疗的认识。方法回顾性分析2007年1月至2010年2月56例PTE患者的临床表现、危险因素、辅助检查结果、诊断、治疗和预后情况。结果 56例PTE患者危险因素以下肢深静脉血栓形成(DVT)最为常见占53.6%,PTE的临床表现缺乏特异性,以呼吸困难最为常见占82.1%,核素肺通气灌注扫描、肺增强螺旋CT、肺动脉造影为PTE确诊的重要手段。PTE治疗以抗凝及溶栓治疗为主。结论提高PTE的认识,早期诊断、及时治疗,可降低PTE病死率。Objective To summarize the clinical manifestations and the auxiliary examinations of patients withpulmonary thromboembolism（PTE）in order to improve recognition of PTE′s pathogenesis,diagnosis and treatment.Methods The clinical datas including the clinical manifestations 、the risk factors 、the results of auxiliary examinations、diagnosis 、 treatment and prognosis of 56 patients with PTE were analyzed retrospectively from january 2007 to february 2010.Results The most common risk factors for PTE were deep vein thrombosis（53.6%）.PTE varies in its symptoms,lacking of specificity.The most common clinical manifestations were dyspnea（82.1 %）.Ventilation-perfusion lung scans and CT pulmonary angiography,pulmonary arteriography is the definitive test.Anticoagulant and thrombolysis are the main treatment in PTE.Conclusions The physician should improve recognition of PTE.It isimportant to make early diagnosis of pulmonary thrombo-embolism and to start treatment immediately in order to reduce the case fatality rate of patients with PTE.

关 键 词：肺栓塞 诊断 治疗 

分 类 号：R563.5[医药卫生—呼吸系统]