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肺栓塞39例诊断和治疗评价
引用本文:刘成加,童步高,孙红军. 肺栓塞39例诊断和治疗评价[J]. 中国临床医学, 2002, 9(6): 716-717
作者姓名:刘成加  童步高  孙红军
作者单位:1. 江苏省盐城市城区人民医院在中山医院的进修生,224001
2. 复旦大学附属中山医院心内科,上海,200032
3. 安徽省蚌埠市第一人民医院在中山医院的进修生,233000
摘    要:目的:分析39例肺栓塞(PE)的临床特点,提高对肺栓塞的认识。方法:回顾分析39例PE的病因、症状、体征和实验室检查结果。结果:下肢深静脉血栓(DVT)是PE发生的主要原因(占64.1%),肿瘤(占20.5%),先心(占5.1%)等是常见原因。结论:PE是一种误诊率很高的疾病,核素肺通气/灌注扫描具有很高的诊断价值,及时诊断和溶栓治疗是改善预后的关键。

关 键 词:肺栓塞 诊断 治疗 核素肺通气灌注显像 PTE

Diagnostic and Therapeutical Analysis in 39 Cases of Pulmonary Embolism
Liu Chengjia Tong Bugao Shun Hongjun. Diagnostic and Therapeutical Analysis in 39 Cases of Pulmonary Embolism[J]. Chinese Journal Of Clinical Medicine, 2002, 9(6): 716-717
Authors:Liu Chengjia Tong Bugao Shun Hongjun
Abstract:Objective: To analyze the clinical characteristics and highlight the understanding of pulmonary embolism (PE). Methods: The clinical data from 39 cases of PE were reviewed retrospectively. Results: The main causes of PE included deep venous thrombosis (DVT) (64.1%), tumor (20.5%), congenital heart disease (5.1%). Conclusion: Misdiagnostic rate of PE was high. Perfusion lung scanning was important for diagnosis of PE. Early diagnosis and thrombolytic therapy were key in improving prognosis of PE.
Keywords:Pulmonary embolism Diagnosis Treatment Perfusiom lung scanning
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