急诊17例肺动脉栓塞临床分析

目的：提高急诊医师对肺栓塞的认识、早期诊断及治疗。方法：回顾性分析急诊17例肺动脉栓塞患者的临床资料。结果：女性患者居多;基础疾病有下肢静脉血栓、肿瘤、脑梗塞等;其临床表现不典型,多表现为呼吸困难、胸痛、咳嗽、咯血等;对其明确诊断首选放射性核素肺灌注显像;及时进行溶栓和抗凝治疗,效果好,预后佳。结论：在急诊临床工作中应提高对肺栓塞的发病警惕,早期诊断,及时治疗是改善患者预后的关键。

Clinical Analysis of 17 Patients with Pulmonary Embolism in Emergency Department

Objective: To improve the diagnosis and treatment of pulmonary embolism. Methods: To retrospectively analyze the clinical data of 17 patients with pulmonary embolism who were cured in our emergency department from 1998 to 2002. Results: 17 patients: male 6, female 11, age ranged from 15 to 80 years. The common basic diseases were thrombophlebitis of lower extremity (41.2%, 7/17), tumor(17.6%, 3/17) and cerebral infarction (11. 8% , 2/17) . Perfusion-inspiration lung scans was the first choice for the diagnosis of pulmonary embolism. The prognosis for patients treated with thrombolytic and anticoagulant in time was better. Conclusions: It is important that pulmonary embolism be diagnosed and treated early in emergency department.