| 43例肺栓塞临床诊断与疗效分析 |
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| 引用本文： | 吴晓丹,李善群,白春学,钮善福. 43例肺栓塞临床诊断与疗效分析[J]. 复旦学报(医学版), 2007, 34(3): 452-454 |
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| 作者姓名： | 吴晓丹 李善群 白春学 钮善福 |
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| 作者单位： | 复旦大学附属中山医院呼吸病研究所-呼吸内科,上海,200032 |
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| 摘 要： | 目的探讨肺栓塞的危险因素、临床特征和疗效,进行预后因素分析。方法对我院2000-2005年确诊的43例肺栓塞患者的危险因素、临床特征、疗效等进行回顾分析。结果肺栓塞往往存在明确的危险因素。单因素分析显示休克、未行溶栓或抗凝治疗与预后相关。结论肺栓塞发病与危险因素密切相关,介入溶栓在急性大面积肺栓塞的病人中疗效确切,休克、未行溶栓或抗凝治疗的患者转归较差。
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| 关 键 词： | 肺栓塞 诊断 危险因素 介入性 溶栓 |
| 修稿时间： | 2006-06-02 |
Analysis of clinical diagnosis and treatment effects of 43 patients with pulmonary embolism |
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| WU Xiao-dan,LI Shan-qun,BAI Chun-xue,NIU Shan-fu. Analysis of clinical diagnosis and treatment effects of 43 patients with pulmonary embolism[J]. Fudan University Journal of Medical Sciences, 2007, 34(3): 452-454 |
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| Authors: | WU Xiao-dan LI Shan-qun BAI Chun-xue NIU Shan-fu |
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| Affiliation: | Department of Pulmonary Medicine-Institute of Respiratory Diseases, Zhongshan Hospital, Fudan University, Shanghai 200032, China |
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| Abstract: | Purpose To investigate the risk factors, clinical characteristics and theraputic effects in patients with pulmonary embolism (PE)., and to analyze prognostic factors of PE. Methods Data of 43 PE patients diagnosed in our hospital from 2000 to 2005 were analyzed retrospectively. Results Most of the PE patients were with risk factors. Seven patients received interventional thrombolytic therapy, 6 of them improved significantly. Univariate analysis indicated that shock, thrombolytic therapy and anticoagulation were important prognostic factors. Conclusions The incidence of PE highly related to its risk factors. Interventional thrombolytic therapy was effective in patients with acute massive PE. Patients who had shock, or received no thrombolysis or anticoagulation therapy had a bad prognosis. |
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| Keywords: | pulmonary embolism diagnosis risk factors interventional thrombolytic therapy |
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