| 慢性阻塞性肺疾病合并肺栓塞的临床分析 |
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| 引用本文： | 王颖,柴燕玲,杨福祥,张涛.慢性阻塞性肺疾病合并肺栓塞的临床分析[J].昆明医学院学报,2011,32(7):55-57. |
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| 作者姓名： | 王颖 柴燕玲 杨福祥 张涛 |
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| 作者单位： | 1. 昆明医学院第二附属医院呼吸内科,云南昆明,650101
2. 西双版纳州勐腊县人民医院内科,云南勐腊,666300 |
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| 基金项目： | 云南省应用基础研究基金资助项目(2010CD173) |
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| 摘 要： | 目的探讨慢性阻塞性肺疾病（COPD）合并肺栓塞（PE）的临床特点.方法回顾性分析2007年1月至2010年6月间共42例COPD合并PE患者的临床资料,与42例单纯COPD临床资料进行对比.结果慢性阻塞性肺疾病合并肺栓塞组胸痛、咯血、发热、胸腔积液和不对称下肢水肿的发生率高,肺动脉压明显升高,与单纯慢性阻塞性肺疾病组比较,差异有统计学意义（P〈0.05）.结论 COPD合并PE的临床表现常不典型,当COPD患者出现胸痛、咯血、发热、胸腔积液和不对称下肢水肿时要考虑肺栓塞的可能,并尽快选择CT肺动脉成像或核磁共振肺动脉造影进一步确诊.
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| 关 键 词： | 肺栓塞 慢性阻塞性肺疾病 临床表现 |
Clinic Analysis of COPD Patients Complicated with Pulmonary Embolism |
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| WANG Ying,CHAI Yan-lin,YANG Fu-xiang,ZHANG Tao.Clinic Analysis of COPD Patients Complicated with Pulmonary Embolism[J].Journal of Kunming Medical College,2011,32(7):55-57. |
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| Authors: | WANG Ying CHAI Yan-lin YANG Fu-xiang ZHANG Tao |
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| Institution: | WANG Ying,CHAI Yan-lin,YANG Fu-xiang,ZHANG Tao(1)Dept.of Respiratory Medicine,The 2nd Affiliated Hospital of Kunming Medical University,Kunming Yunnan 650101,2)Dept.of Internal Medicine,Mengla People's Hospital of Xishuangbanna State,Mengla Yunnan 666300,China) |
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| Abstract: | Objective To investigate the clinic features of chronic obstructive pulmonary disease(COPD)patients complicated with pulmonary embolism(PE)Method The clinical data of 42 COPD patients complicated with PE were retrospectively analyzed and compared with the data of 42 COPD patients.Results In the COPD with PE group,the incidence of chest pain,hemoptysis,fever,pleural effusion and asymmetric leg edema were obviously higher than that of only COPD group,and pulmonary artery pressure was significantly higher in t... |
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| Keywords: | Pulmonary embolism Chronic obstructive pulmonary disease Clinical presentation |
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