恶性肿瘤并发急性肺栓塞的诊疗探讨

目的探讨恶性肿瘤并发急性肺栓塞患者的诊断及治疗特点。方法回顾性分析我院26例恶性肿瘤并发急性肺栓塞患者的临床表现、诊断方法及治疗转归。结果恶性肿瘤并发急性肺栓塞的临床表现不典型,CTPA和核素肺灌注-通气扫描检查是首选的确诊方法,积极的溶栓和/或抗凝治疗可降低病死率。结论恶性肿瘤并发急性肺栓塞病死率高,易发生误诊。临床医生需加强警惕以预防肺栓塞发生,对于疑似病例应尽早进行积极的诊断与治疗。

Diagnosis and treatment of the malignant tumor complicated with acute pulmonary embolism

Objective To discuss the characteristics of diagnosis and treatment in malignant tumor complicated with acute pulmonary embolism(APE).Methods TTo analyze retrospectively the clinical features,diagnostic approach and treatment outcomes of 26 cases with malignant tumor complicated with APE.Results The clinical features of the patients with malignant tumor complicated with APE were nonspecific.CTPA and the ventilation/perfusion scan were the first choice of its final diagnosis.Active thrombolytic and/or anticoagulant therapy was effective to decrease the mortality.Conclusion The fatality rate of malignant tumor complicated with APE has very high mortality and tends to be misdiagnosed.Clinicians should be extra alert to prevent APE,and the suspect cases should be given correct diagnosis and aggressive treatment as early as possible.