构建肺栓塞诊治的"立体网络"势在必行

目的 探索提高肺栓塞诊治水平的有效措施.方法分析4年间本院住院的急性肺栓塞患者142例的临床诊治情况.结果 构成比:60岁以上老年人较高(73% vs 27%,P<0.05);内科患者明显多于外科(79% vs 21%,P<0.05);以呼吸科(33%)、心内科(23%)为主.死亡率:外科明显高于内科(47% vs 13%,P<0.05);呼吸内科低于心内科(4.3% vs 25%,P<0.05).结论肺栓塞为常见病,临床表现多样,涉及科室众多,单独医疗或医技科室进行诊断常造成漏诊、误诊.提高肺栓塞的诊疗水平有赖于:(1)增强诊断意识; (2)加强研究、规范治疗;(3)构建肺栓塞防治的"立体网络".

Construction of a comprehensive system of diagnosis and management of pulmonary embolism (Clinical analysis of 142 PE cases included)

Objective To explore effective ways of elevation in diagnosis and management of pulmonary embolism.Methods Clinical data of 142 patients with pulmonary embolism in hospital during the past 4 years were analyzed.Results Elderly people especially over 60 were more likely to suffer from PE(73% vs 27%,P<0.05).The incidence of PE in medical department was significantly higher than that in surgical department(79% vs 21%,P<0.01),and the patients were mainly in pneumology department(33%) and department of cardiology(23%).The mortality in surgical department was significantly higher than that in medical department(47% vs 13%,P<0.05),and the mortality in pneumology department was significantly lower than that in department of cardiology(4.3% vs 25%,P<0.05).Conclusions PE is a common disease with multiplicity of clinical features,and related to numerous division.It is easily to make a misdiagnosis by single department.The following procedures are beneficial to improve PE diagnosis:(1) Enhance the awareness of PE diagnosis(2) Experiences about management of PE should be accumulated(3) A comprehensive system of management of PE should be organized.