药物治疗急性肺血栓栓塞症的临床观察

目的 观察急性肺动脉栓塞抗凝与溶栓前后时症状，血气指标。心电图，超声心动图，肺通气／灌注扫描的变化。方法 选用2000年1月～2006年7月年我院就诊的急性肺动脉栓塞患者3s例。既往均无心肺疾患。随机分为两组，15例进行了溶栓治疗，20例低分子肝素抗凝。溶栓和抗凝前后将其症状，动脉血气分析，心电图，超声心动图对比分析。结果症状，血气指标，心电图，超声心动图，溶栓后肺通气／灌注扫描的。比低分子肝素抗凝后改善明显P〈0．05。结论 溶栓比单纯抗凝效果好。

Clinical observation of urokinase and low molecular weight heparin in treating patients with acute pulmonary thromboembolism

Objective:To observe the changes in symptom,blood gas index,electrocardiogram,echocardiogram,pulmonary ventilation/perfusion scanning before and after anticoagulation and thrombolysis in patients with acute pulmonary thromboembolism.Methods:To choose 35 cases with acute pulmonary thromboembolism from Jan,2000 to July,2007.All of them hadn't past history with heart and pulmonary diseases.35 patients were randomly divided into two groups.Fifteen ones who had undergone the thrombolysis therapy(group 1),and the other tweenty had anticoagulation treatment with low molecular weight heparin(group 2).Symptom,arterial blood gas analysis,electrocardiogram,echocardiogram were analyzed comparatively before and after anticoagulation and thrombolysis.Results:In symptom,blood gas index,electrocardiogram,echocardiogram,pulmonary ventilation/perfusion scanning,group 1 improved significantly compared with group 2.(P<0.05)Conclusions:Thrombolysis was more effective than pure anticoagulation.