| 肺血栓栓塞症的临床特征和诊断方法 |
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| 引用本文： | 时国朝,刘嘉琳,张卓然,黄绍光,邓伟吾,万欢英,李敏.肺血栓栓塞症的临床特征和诊断方法[J].上海交通大学学报(医学版),2005,25(10):1064-1066. |
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| 作者姓名： | 时国朝 刘嘉琳 张卓然 黄绍光 邓伟吾 万欢英 李敏 |
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| 作者单位： | 上海第二医科大学瑞金医院呼吸科,上海,200025;上海第二医科大学瑞金医院呼吸科,上海,200025;上海第二医科大学瑞金医院呼吸科,上海,200025;上海第二医科大学瑞金医院呼吸科,上海,200025;上海第二医科大学瑞金医院呼吸科,上海,200025;上海第二医科大学瑞金医院呼吸科,上海,200025;上海第二医科大学瑞金医院呼吸科,上海,200025 |
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| 摘 要： | 目的探讨肺血栓栓塞症(PTE)的临床特征和诊断方法.方法对89例PTE确诊的病例进行回顾性分析.结果 PTE患者常有多种危险因子,最常见的临床表现为不明原因的呼吸困难,伴有下肢深静脉血栓形成,其他常见的症状和体征包括呼吸急促、胸痛和心动过速等.动脉血气分析、心电图、胸部X线、超声及D-二聚体试验对PTE诊断有提示作用;核素肺通气/灌注扫描和CT肺动脉造影是诊断PTE最常用的技术.结论 PTE是一种常见肺血管疾病,对不明原因呼吸困难的高危患者应及时给予确诊试验,如核素肺通气/灌注扫描和CT肺动脉造影.
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| 关 键 词： | 肺血栓栓塞症 深静脉血栓形成 核素肺通气/灌注扫描 CT肺动脉造影 |
| 文章编号： | 0258-5898(2005)10-1064-03 |
| 收稿时间： | 2004-12-24 |
| 修稿时间： | 2005-04-03 |
Clinical Feature and Diagnostic Approach to Pulmonary Thromboembolism |
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| SHI Guo-chao,LIU Jia-lin,ZHANG Zhuo-ran,HUANG Shao-guang,DENG Wei-wu,WAN Huan-ying,LI Min.Clinical Feature and Diagnostic Approach to Pulmonary Thromboembolism[J].Journal of Shanghai Jiaotong University:Medical Science,2005,25(10):1064-1066. |
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| Authors: | SHI Guo-chao LIU Jia-lin ZHANG Zhuo-ran HUANG Shao-guang DENG Wei-wu WAN Huan-ying LI Min |
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| Institution: | Department of Respiratory, Ruifin Hospital, Shanghai Second Medical University, Shanghai 200025, China |
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| Abstract: | Objective To explore the clinical feature and diagnostic approach to pulmonary thromboembolism(PTE).Methods Retrospective analysis of clinical deta of 89 patientyconfirmed PTE was.(Results)The patients with PTE often had one or more risk factors.The most common clinical manifestation of PTE was unexplained dyspnea with deep venous thrombosis(DVT) in the lower extremity.Other common symptoms and signs included tachypnea,chest pain and tachycardia.Blood gas analysis,electrocardiography,chest X ray,ultrasonography and D-dimer testing were predictive for the diagnosis of PTE.Ventilation-perfusion(V/Q) scanning and CT pulmonary angiography(CTPA) were common diagnostic techniques for PTE. Conclusion PTE is a common disease involved in the lung vasculature.High risk patients with unexplained dyspnea should have diagnostic tests early,such as,ventilation-perfusion scanning and CT pulmonary angiography. |
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| Keywords: | pulmonary thromboembolism deep venous thrombosis ventilation-perfusion scanning CT pulmonary angiography |
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