急性肺栓塞44例临床分析

目的:总结急性肺栓塞的临床特征、诊断和治疗方法,以提高其诊断率和治愈率。方法:回顾性分析1999年1月至2005年12月两院44例急性肺栓塞患者的临床资料。结果:呼吸困难、胸痛、晕厥和咯血为急性肺栓塞的早期主要临床表现,血清D-二聚体、动脉血气分析、心电图、螺旋CT、肺通气/灌注核素扫描、核磁共振成像检查和/或肺动脉造影确诊为重要的诊断手段,早期抗凝、溶栓治疗获良效。本组治愈或好转32例,死亡12例。结论:急性肺血栓早期主要表现为非特异性的呼吸困难、胸痛等,早期诊断肺栓塞至关重要,及时抗凝和溶栓治疗可提高治愈率。

The Clinical Analysis of 44 Patients with Acute Pulmonary Thromboembolism

Objective: To summary the clinical characteristics, diagnosis and treatment of patients with acute pulmonary thromboembolism in order to increase the correct diagnosis rate and cure rate. Methods: The clinical data of 44 patients with acute pulmonary thromboembolism in the two hospitals were analyzed retrospectively from Jan 1999 to Dec 2005. Results: The important early clinical manefistations included dyspnea, chest pain, syncope and haemoptysis. The chief diagnosis means were serum D-dimer,arterial blood gas analysis,electrocardiogram, spirals CT, lung scan, nuclear magnetic resonance (MRI) and/or pulmonary arteriography. It will be good treated by anticoagulant and thrombolysis earliy. 32 cases healed or mended and 12 died. Conclusions: The early chief clinical manifestations of acute pulmonary thromboembolism were non-specific. It's important to correctly diagnose acute pulmonary embolism and take measures of anticoagulant and thrombolysis immediately will improve the cure rate.