肺栓塞18例临床分析

目的分析急性肺栓塞的临床特点,提高肺栓塞的诊治水平.方法回顾性分析18例肺栓塞患者的临床特点和治疗.结果院外误诊率72.2%.临床表现多样,血气分析、X线胸片、心电图对诊断有帮助.确诊需靠肺灌注通气检查、选择性肺动脉造影及超声心动图检查.治疗有尿激酶溶栓及肝素抗凝.结论应提高对肺栓塞的警惕性,早期诊断、早期治疗是改善预后的关键.

Clinical Analysis of 18 Patients with Pulmonany Embolism

Objective:To analyze the clinical char acteristics,diagnosis and treatment of p ulmonary embolism. Methods:The clinical data from 18 pati ents with pulmonary embolism were analyz ed tetrospectively. Results:Misdiagnostic rate before hosp ital admission was 72.2%.The ECG,ultraso und.Arterial blood gas analysis and routi ne chest radiography were helpful for th e diagnosis.The diagnosis of pulmonary m bolism was established by the results of perfusion lung scanning,selective pulmo nary arteriography or ultrasound echocar diography.The patients was given thrombo lytic therapy(UK)and anticoagul ant therapy(heparin). Conclusion:It is important to alert the patcents the possibility of pulmonary embolism.Early diagnosis and treatment a re important to the prognosis of pulmona ry embolism patients.