64例肺栓塞的下肢深静脉及心脏超声分析  

Lower Extremity Venous Ultrasound and Echocardiography of 64 Patients with Pulmonary Embolism

作　　者：罗燕华[1] Luo Yanhua(Department of Ultrasound,the Second Affiliated Hospital of Guangzhou Medical University,Guangzhou,Guangdong 510260)

机构地区：[1]广州医科大学附属第二医院超声科,广东广州510260

出　　处：《现代医用影像学》2020年第10期1869-1871,共3页Modern Medical Imageology

摘　　要：目的:对64例肺栓塞患者下肢静脉超声及超声心动图的特征进行分析。方法:回顾性分析2018年1月至2019年12月于本院住院经计算机断层摄影术肺血管造影(CTPA)诊断为肺动脉栓塞(PE)病例64例,分析其下肢静脉超声改变及超声心动图改变。结果:下肢静脉超声检查发现64例肺栓塞患者中有51例伴发下肢深静脉血栓,阳性率为79.69%。心脏超声心动图检查中有2例存在栓塞直接征象,占比3.13%,均为右肺动脉起始部血栓。存在肺栓塞间接征象的29例,占比例45.31%。结论:结合下肢静脉超声检查结果及心脏超声心动图检查结果,对作出肺栓塞的诊断具有重要的作用。Objective:To analyze the characteristics of the lower extremity venous ultrasound and echocardiography of 64 patients with pulmonary embolism.Methods:The data of 64 patients diagnosed with pulmonary embolism by CTPA were collect retrospectively from January 2018 to December 2019. To analyze their changes of lower extremity venous ultrasound and echocardiography.Results:Lower extremity venous ultrasonography showed that 51 cases suffered from DVT in 64 patients with pulmonary embolism, with a positive rate of 79.69%. In echocardiography, there were 2 cases(3.13%) with direct signs, all the thrombus were at the initial part of the right pulmonary arteries. There were 29 cases(45.31%) with indirect signs.Conclusion:Combined with the lower extremity venous ultrasound findings and results of echocardiography, it plays an important role in the diagnosis of pulmonary embolism.

关 键 词：下肢静脉超声 心脏超声 肺栓塞 

分 类 号：R563.5[医药卫生—呼吸系统]