肺动脉栓塞32例的临床特征及诊断思路

目的　提高肺动脉栓塞的诊断意识和诊断技术。方法　回顾性分析 32例肺动脉栓塞患者的基础疾病、诱因、临床表现和辅助检查以及诊疗及预后情况。结果　 32例肺动脉栓塞中下肢深静脉血栓形成是主要病因 ,病死率 34 .4 % ;误诊率 75% ;误诊与肺动脉栓塞的临床表现特异性不高。结论　医生的诊断意识不强和诊断水平不高有关 ,提高对肺动脉栓塞的诊断意识和诊断水平是减少误诊的关键

Clinic features and Clues to diagnoses of pulmonary embolism

Objective:To elevate doctors' consciousness and technique in diagnoses of pulmonary embolism (PE).Methods Retrospectively studying 32 cases of PE about their basic diseases,inducing causes,and prognosises.Result In 32 cases of PE,deep venous thromboem bolism of louer limbs was the primary reason of death,11 cases died,the mortality was 34.4%,and 24 misdiagnoses,the rate of misdiagnoses was 75%.Misdiagnoses was related to non specific clinic manifestations of PE,and to the doctors' low consciousness and technique in diagnoses of PE.Conclusion The doctor's consciousness is related to diagnostic technique,it takes a key role in avoiding misdiagnoses to elevate doctors' consciousness and technique in diagnoses of PE.