急性肺栓塞30例临床分析

报告我院确诊的３０例急性肺栓塞病人，其中合并深部静脉血栓１１例占３６．７％，原有心肺血管疾病者１２例占４０％，提示ＤＶＴ及心肺血管疾病是ＡＰＥ的重要易发危险因素。

Clinical Analysis of 30 Patients with Acute Pulmonary Embolism

Thirty cases of acute pulmonary embolism(APE)were investigated,36.7% of them were concurrent with deep venous thrombus (DVT) and 40% had basal angiocardiopathy or angiopulmonopathy. It showed that DVT and the angiopathy of heart and lung were important risk factors for APE. The clinical manifestations had no specificity. It was advised that the radionuclide pulmonary perfusion scanning should apply to all the suspicious cases of APE. This method was valuable in diagnosis of the disease. The anticoagulant therapy was applied in 14 cases, in which heparin was used. One case died in hospital, the fatality rate was 7.14% . Non-heparin therapy was applied in 16 cases. Five cases died and the fatality rate was 31.25% ,which was obviously higher than heparin therapy cases(F<0.05). It was indicated that the heparin anticoagulant therapy had a remarkable effect in acute stage of APE.