妇科疾病合并肺栓塞3例患者的临床特征分析  

Clinical characteristics of 3 genopathic patients with pulmonary embolism

作　　者：徐珍[1] 何裕[1] 廖碧翎[1] 李洁明[1] Xu Zhen;He Yu;Liao Biling;Li Jieming(Department of Gynocolgy,Guangdong Women and Children Hospial,Guangzhou 510010,China)

机构地区：[1]广东省妇幼保健院妇科,510010

出　　处：《国际医药卫生导报》2018年第14期2124-2126,共3页International Medicine and Health Guidance News

摘　　要：目的 总结妇科患者出现肺栓塞的临床特点,为临床决策提供参考,避免临床不良结局的发生。方法 收集2014年1月至2017的8月3例妇科住院合并肺栓塞的临床病例资料,总结临床表现及诊治要点。结果 3例妇科住院患者平均年龄为50.7岁,住院时间为5~20 d,平均住院时间为12.7 d,3例患者均有发生肺栓塞的高危因素(恶性肿瘤、下肢静脉血栓、卧床等),1例患者出现肺栓塞特殊临床表现。3例患者均通过CT肺动脉增强造影确诊肺栓塞后均及时转入MICU,进行抗凝、溶栓治疗。结论 通过病史总结、重要的辅助检查,及时明确诊断,尽早开始抗凝、溶栓治疗,改善患者的临床疗效。临床工作中要提高急性肺栓塞的诊断率,重视肺栓塞的危险因素,及时诊断并予治疗,改善患者临床结局。Objective To summarize the clinical features of 3 genopathic patients with pulmonary embolism,and provide some references for clinical decision-making.Methods 3 genopathic patients with pulmonary embolism were retrospectively analyzed from January 2014 to August 2017;and the clinical features of the 3 patients were summarized.Results The average age of the 3 patients was 50.7 years;and the average hospital stay was 12.7 days.All the 3 patients had high risk factors of pulmonary embolism(malignant tumors,venous thrombosis,bed rest,and so on);1 patient had the special clinical manifestations of pulmonary embolism.All the 3 patients were confirmed with pulmonary embolism by CT pulmonary artery contrast enhancement,and treated with anticoagulant or thrombolytic therapy,and were transferred to MICU.Conclusion Pulmonary embolism can be early diagnosed by clinical manifestations and laboratory examinations.Anticoagulant and thrombolytic therapy should be taken early,as well as the risk factors should be dealt with,to improve clinical treatment effect and clinical outcome.

关 键 词：妇科疾病合并肺栓塞 临床表现 诊断 

分 类 号：R563.5[医药卫生—呼吸系统] R711[医药卫生—内科学]