COPD和DVT患者发生急性肺栓塞早期诊断的研究

目的 探索COPD和DVT患者发生急性肺栓塞早期诊断.方法 研究对象是从2001年1月至2006年1月的25例怀疑急性肺栓塞(PE)患者.其中慢性阻塞性肺疾病患者10例.15例患者既往有下肢深静脉血栓病史.年龄从35岁至72岁,平均43.8岁.男性11例,女性14例.采用综合性的诊断方法,包括:突然出现的呼吸困难、胸痛、晕厥、动脉血氧、心电图及胸片,以及螺旋CT造影(SCTA)、D-二聚体测定、通气灌注比(V/Q)等手段诊断急性肺栓塞.并进行统计比较COPD和DVT患者发生急性肺栓塞的几率.结果 所有患者25例均进行了D-二聚体分析,灌注扫描24例,有灌注扫描缺损的15例患者进一步进行通气扫描,10例经通气扫描提示为可疑病例在进行螺旋CT造影扫描.5例确诊为急性肺栓塞,其中COPD为2例,DVT为3例.结论 采用综合性的诊断方法可以准确的诊断急性肺栓塞,在我们的研究中COPD和DVT患急性肺栓塞的风险无明显区别(P＞0.05).

Early Diagnosis of Acute Pulmonary Embolism of COPD and DVT

Objective Explore the Early Diagnosis of Acute Pulmonary Embolism of COPD and DVT.Methods The study object were 25 cases,suspected of having PE were considered for our study.From January 2001 to January 2006,age ranged from 35 to 72 years old,mean 43.8 years old.Male 11 cases,female 14 cases.We made diagnosis by comprehensive method,include clinical signs and symptoms,D-Dimer Testing,ventilation perfusion(V/Q) scintigraphy,spiral computed tomographic angiography(SCTA) .Then respectively evaluate and analysis analyze the risksof PE of COPD and DVT patients.Results 25 cases have D-Dimer Testing,24 cases have ventilation scintigraphy,15 cases have perfusion scintigraphy,10 cases have SCTA.Then 5 cases were PE,and 2 were COPD,3 were DVT.Conclusions The comprehensive method of diagnosis of PE was effective.In our study the risk of PE of COPD and DVT patients were similar.