肺动脉栓塞患者24例临床分析  

Clinical Analysis of 24 Cases of Acute Pulmonary Embolism

作　　者：刘婷[1] 

机构地区：[1]大连医科大学附属四院内科,大连116001

出　　处：《中国临床医学》2001年第4期380-382,共3页Chinese Journal of Clinical Medicine

摘　　要：目的 :为提高对肺栓塞 (PE)诊治的水平。方法 :回顾分析我院 1995年 1月～ 2 0 0 0年 12月收治的 2 4例PE患者 ,对其病因、诊断和治疗进行探讨。结果 :5 0岁以上患者占 70 .85 % ;呼吸困难症状多见 ,占 70 .85 % ;心电图典型的SIQⅢTⅢ 表现仅为 33.3 % ,而胸前导联一过性ST -T改变占 87.5 % ;心肌酶变化不明显 ;低氧血症占 91.6 7% ;病因以下肢深静脉血栓 (DVT)最多见 ,占 37.8% ,慢性心肺疾病次之 ;误诊率为 75 % ,死亡率达 2 9.1%。结论 :PE以中、老年多见 ,症状非特异性 ,DVT、慢性心肺疾病是PE的主要病因。血气分析、心电图、超声心动图、D -二聚体测定等有助于PE的筛查。溶栓、抗凝是PE的重要治疗。提高对该病的认识、早期诊断。Objective: To be aware of the diagnosis of pulmonary embolism(PE). Methods: 24 cases with PE were retrospectively analysed. Results: PE were the most common seen in elderly. Dyspnea occurred frequently. The typical changes in ECG was S ⅠQ ⅢT Ⅲ, which was took place in 33% patients with PE. However, the temporary ST-T changes were found about 87.5%. Meanwhile the myocardial enzymes did not change obviously. Hypoxia in PE was about 91.7%. Deep vein thrombosis was the leading cause and the chronic heart and lung disease was the second. Mortality rate of PE was about 29.1% and misdiagnosis rate was 75%. Blood gas analysis, ECG, UCG, D-dimer fragments mesure may be beneficial and helpful. Thrombolytic and anticoagulant is the crucial. Conclusion: To diagnose and treat in early stage PE may improve pregnosis.

关 键 词：肺动脉栓塞 治疗 诊断 PE 

分 类 号：R563.5[医药卫生—呼吸系统]