| 术后发生急性肺栓塞误诊率和死亡率高的原因与介入治疗的有效性 |
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| 引用本文： | 王乐民,魏林,杨林,刘雅君,孙政育.术后发生急性肺栓塞误诊率和死亡率高的原因与介入治疗的有效性[J].中国医药导刊,2001,3(1):24-25. |
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| 作者姓名： | 王乐民 魏林 杨林 刘雅君 孙政育 |
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| 作者单位： | 哈尔滨医科大学第四临床医学院、哈尔滨市第一医院心内科,哈尔滨,150010 |
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| 摘 要： | 目的：分析术后发生急性肺栓塞（PE）死亡率高的原因及治疗对策。方法：采用肺动脉造影及临床综合手段，诊断了9例术后发生急性PE。结果：9例患初诊全部误诊，其中6例死亡（67％）；介入治疗使致死性性PE迅速摆脱临床症状。结论：术后发生的急性PE误诊率高，死亡率高，应提高医师的诊断意识和诊断水平；术后溶栓药物受限时，应考虑介入治疗。
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| 关 键 词： | 急性肺栓塞 误诊率 死亡率 介入治疗 手术后 |
Reason of High Mistake Diagnostic Rate and Death Rate for Patients with Acute PE after Operation,and Validity of Intervention Treatment |
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| Wang Le-min,Wei Lin,Yang Lin,Liu Ya-jun,Sun Zheng-yu.Reason of High Mistake Diagnostic Rate and Death Rate for Patients with Acute PE after Operation,and Validity of Intervention Treatment[J].Chinese Journal of Medicinal Guide,2001,3(1):24-25. |
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| Authors: | Wang Le-min Wei Lin Yang Lin Liu Ya-jun Sun Zheng-yu |
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| Abstract: | Objective: To analyse the reason of high death rate and treatment strategies for patients with acute PE after operation. Method: With pulmonary artery radiography and clinical comprehensive means, 9 cases with PE after operation were dignosed. Result: Missing or wrong diagnosis rate of first consultation was 100%, 6 cases died, death rate is 67%; intervening treatment can make acute PE get rid of clinical symptom prornptly. Conclusion: Both missing or wrong diagnostic rate of acute PE after operation and death rate are high, Diagnostic level and the diagnostic consciousness of physicians must be improved! Since thrombolytic therapy may be risky or contraindicated after operation intervenily management should be considered |
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| Keywords: | acute pulmonary embolism Intervening treatment |
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