20例急性肺栓塞临床诊治分析  

Clinical analysis of 20 cases of acute pulmonary embolism

作　　者：贾坤林[1] 徐翠蓉[1] 邓刚[1] 谢星[1] 钟晓莉[1] 邓海波[1] 

机构地区：[1]简阳市人民医院呼吸内科,四川简阳641400

出　　处：《临床肺科杂志》2013年第10期1810-1811,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的分析肺栓塞患者的临床资料和治疗情况,改善其预后。方法对收治的20例急性肺栓塞患者的临床特点和治疗预后进行分析。结果基础疾病为下肢深静脉血栓6例(30.00%)、外科手术(介入治疗)5例(25.00%)、心血管疾病4例(20.00%)、创伤与骨折2例(10.00%)、慢性肺部疾病2例(10.00%)、恶性肿瘤1例(5.00%)。主要临床表现为呼吸困难,占85.00%,其次为呼吸急促,占80.00%。10例采用单纯抗凝治疗患者,治愈2例、显效6例、好转和无效各1例;10例采用静脉溶栓治疗,治愈2例、显效5例、好转2例和无效1例。结论急性肺栓塞临床缺乏特征性表现,争取早期明确诊断,而且临床治疗应个体化,针对患者自身情况采取静脉溶栓或单纯抗凝治疗。Objective To retrospectively analyze the clinical data of patients with pulmonary embolism in order to improve its di- agnosis and treatment and prognosis. Methods The clinical data of 20 patients with acute pulmonary embolism from January 2009 to Jan- uary 2012 were retrospectively analyzed. Results The underlying diseases included 6 cases of deep venous thrombosis （30.00%） , 5 ca- ses of surgery （intervention） （25.00%） , 4 cases of cardiovascular disease （20. 00% ） , 2 cases of trauma and fractures （ 10. 00% ） , 2 cases of chronic lung disease （ 10.00% ） , and 1 case of tumor （5.00%）. The main clinical manifestations were dyspnea, accounting for 85.00%, followed by shortness of breath （80.00%）. 10 cases received anticoagulant therapy, and two of them were cured, 6 cases ef- fective, 1 case improved, and 1 case ineffective. The rest 10 cases were treated with intravenous thrombolytic therapy, two of which were cured, 5 cases effective, 2 cases improved and 1 case ineffective. Conclusion The clinical manifestations of acute pulmonary embolism are lack of characteristics. The patients with acute pulmonary embolism should be given early diagnosis and individualized clinical treat- ment based on patients＇ condition.

关 键 词：肺栓塞 危险因素 临床特征 治疗 预后 

分 类 号：R563.5[医药卫生—呼吸系统]