急性肺栓塞26例临床分析

目的 分析急性肺栓塞（Pulmonary embolism，PE），即临床上出现呼吸困难、晕厥、休克等症状的住院患者进行回顾分析，提高对该病的认识和早期诊断治疗。方法 将确诊的26例急性肺栓塞患者按入院先后顺序分为A、B组。A组12例，采用溶栓加抗凝治疗；B组14例，采用单纯抗凝治疗。观察疗效并于6个月后复查肺功能、CT、MR、心功超声、放射性核素肺扫描，判定肺栓塞对远期肺功能的影响和慢性肺栓塞、肺动脉高压形成等改变。结果 A组有效率75％，症状得到明显改善。6个月后复查，呼吸困难缓解，心率、血压维持在正常水平。B组有效率64％，呼吸困难、胸痛、心悸等症状均得到改善。结论 溶栓加抗凝疗法治疗PE优于单纯抗凝疗法，早期诊断治疗是预防猝死、改善预后的关键。

An Clinical Analysis of 26 Patients with Acute Pulmonary Embolism

Objective To study the early diagnosis,treatment,and prevention of acute pulmonary embolism(PE),which is manifested in clinical as severe dyspnea,syncop,shock.Methods 26 patients with acute pulmonary embolism were divide A and B groups.12 patients received emergency thrombolytic therapy and anti-coagulation therapy while the others only received anti-coagulation therapy.Original pattern,clinical manifestations,lab examinations(such as CTPA,MR,US and V/Q scan),treatment and prognosis of 26 patients diagnosed as PE in our hospital were reviewed and analyzed after 6 month.Results Twelve patients(75%) got better in clinical symptoms,In patients who only received anti-coagulation therapy,fourteen patients(64%) were alleviated and had good prognosis.Conclusion Thrombolytic therapy and anti-coagulation therapy was better than anti-coagulation therapy.Early diagnosis and quickly efficient treatment,such as thrombolysis,is key to preventing death and increasing life quality.