| 预测肺栓塞患者临床结果的因素 |
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| 引用本文： | 秦志强,谢灿茂. 预测肺栓塞患者临床结果的因素[J]. 国外医学:内科学分册, 2009, 36(2): 116-120 |
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| 作者姓名： | 秦志强 谢灿茂 |
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| 作者单位： | 广西壮族自治区人民医院呼吸内科,广西,南宁,530021;中山大学附属第一医院,广东,广州,510080 |
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| 基金项目： | 广西壮族自治区卫生厅重点科研课题 |
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| 摘 要： | 肺栓塞是病死率较高的疾病之一，病死率因病情严重程度而异。影响肺栓塞患者预后的因素众多，研究预测肺栓塞患者临床结果的因素有助于优化肺栓塞的治疗。血流动力学不稳定（动脉收缩压低于90mmHg或休克）（1mmHg：0．133kPa）、右心功能不全（右心室扩大、收缩期室间隔反向运动）、心电图异常、血浆心肌肌钙蛋白水平升高和血浆脑利钠肽水平升高是肺栓塞患者预后不良的预测因素。除了血流动力学不稳定采用的收缩压判断值（低于90mmHg）之外，其他预测因素的判断标准各研究均不一致，使其临床应用受到限制。
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| 关 键 词： | 肺栓塞 预后 预测因子 血流动力学 |
Predictors of clinical outcomes of patients with pulmonary embolism |
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| QIN Zhi-qiang,XIE Can-mao. Predictors of clinical outcomes of patients with pulmonary embolism[J]. Foreign Medical Sciences(Section of Internal Medicine), 2009, 36(2): 116-120 |
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| Authors: | QIN Zhi-qiang XIE Can-mao |
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| Affiliation: | QIN Zhi-qiang , XIE Can-mao( 1 Department of Respiratory Medicine, The Peopk s i Jspital of Guangxi Zhuang Autonomous Region, Nanning 530021, China ; 2 The First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, China) |
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| Abstract: | The mortality of pulmonary embolism(PE) varies according to the severity of PE and keeps on high. Lots of factors affect the clinical prognosis of patients with PE. Researches on the predictors of outcomes of PE will optimize the management of the disease. Hemodynamic impairment(defined as systolic blood pressure<90 mm Hg or shock), right ventricular(RV) dysfunction(defined as RV dilatation or paradox septal systolic motion), abnormal electrocardiogram, elevated cardiac troponin or brain natriuretic peptide... |
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| Keywords: | Pulmonary embolism Prognosis Predictors Hemodynamics |
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