153例急性肺血栓栓塞的回顾性研究  

Retrospective evaluation on 153 cases of acute pulmonary thromboembolism

作　　者：何如平[1] 叶健烽[1] 

机构地区：[1]东莞市人民医院心血管内科,523059

出　　处：《国际医药卫生导报》2014年第11期1525-1528,共4页International Medicine and Health Guidance News

摘　　要：目的探讨急性肺血栓栓塞（acute pulmonary thromboembolism，APTE）患者发病的危险因素、临床表现、诊断程序、治疗措施和临床转归。方法对我院153例APTE患者的临床资料进行回顾性分析。结果①在过去的10年间，APTE住院病人呈逐年增加的趋势；②年龄≥60岁、长期卧床（≥5天）或制动、原发性高血压和吸烟是APTE患者常见的危险因素；③呼吸困难和呼吸急促是APTE患者最常见的临床症状和体征，而包括气促、胸痛、咯血在内的“肺梗死三联征”仅占18．3％。结论综合性分析APTE的危险因素、临床表现、诊断程序、治疗措施和临床转归，能够提高APTE的诊断率和治愈率。Objective To explore associated predisposing factors, characteristic features, diagnostic and therapeutic approaches, and prognosis of acute pulmonary thromboembolism （APTE）. Method A retrospective study was carried out in 153 patients with APTE. Results （1） The study revealed a steady increase in the number of hospitalized APTE during the past 10 years. （2） Age ≥ 60 years, prolonged bedridden state （ ≥ 5 days） or immobilization, primary hypertension and smoking were common associated predisposing factors for APTE patients. （3） Dyspnea and tachypnea were the most common symptoms and signs of APTE patients, respectively. However, the classic triad as dyspnea, chest pain and hemoptysis only accounted for 18.3% of patients with APTE. Conclusion Analyzing the associated predisposing factors, characteristic features, diagnostic and therapeutic approaches, and prognosis of APTE can contribute to improve the rate of diagnosis and cure.

关 键 词：肺血栓栓塞症 深静脉血栓形成 危险因素 预后 

分 类 号：R563.5[医药卫生—呼吸系统]