急性肺血栓栓塞的诊治70例报告  

Analysis of the diagnosis and treatment of acute pulmonary embolism(report of 70 cases)

作　　者：贾勤惠[1] 李志枚[1] 徐辉[1] 古丽巴哈尔[1] 

机构地区：[1]兰州军区乌鲁木齐总医院老年病科,新疆乌鲁木齐830000

出　　处：《临床肺科杂志》2012年第3期435-436,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的对我院18年间住院急性肺血栓栓塞(PTE)病例进行临床分析,提高肺血栓栓塞的诊治水平。方法收集整理70例急性肺血栓栓塞的临床资料,并进行分析。结果 PTE的临床特征不典型,容易误诊,A组(1993～2002年)诊断18例,误诊10例,病死11例;B组(2003～2010年)诊断52例,误诊15例,病死13例,A组误诊数、病死数明显高于B组并有统计学意义。结论随着医师诊断意识的提高,医生掌握PTE正确的诊断程序及规范化治疗,肺栓塞的检出率逐年增多,而误诊率、病死率明显下降。Objective To analyze clinical characteristics, risk factors and pathogenesis of the cases of acute pulmonary thrombo- embolism （PTE） hospitalized from 1993 to 2010 in order to improve the doctors＇ level of diagnosis and treatment of pulmonary thromboem- bolism, reduce misdiagnosis rate of pulmonary embolism and fatality rate. Methods Clinical data of 70 cases with acute pulmonary throm- boembolism were collected, and the patients were divided into two groups, group A reported （1993 ~ 2002 ）, B group not reported （2003 ~ 2010）, and the two sets of statistical data were analyzed. Results The clinical features of PTE were untypical, easily leading to misdi- agnosis. 18 patients were diagnosed in group A, 10 cases were misdiagnosed, and 11 died;52 cases were diagnosed in group B, 15 cases misdiagnosed,and 13 died. The misdiagnosed cases of group A were obviously higher than those of group B（P 〈0. 05 ）. Fatality cases of Group A were higher than those of group B（P 〈 0. 01 ）. Conclusion With increase of diagnosis consciousness in physician, doctor has mastered the proper PTE diagnostic procedures and standardization of treatment, as well as a new safe, noninvasive, rapid diagnostic tech- niques, pulmonary embolism detection rate is increasing year by year, and the misdiagnosis rate, mortality rate decreased obviously.

关 键 词：肺血栓栓塞 诊断 误诊 治疗 

分 类 号：R563.5[医药卫生—呼吸系统]