AECOPD合并肺栓塞38例临床分析

目的：探讨AECOPD合并肺栓塞（PE）的临床特点.方法：回顾性分析2012年1月至2014年1月确诊AECOPD合并PE 38例患者的临床资料.结果：AECOPD继发肺心病患者易合并PE（86.8％）,最突出的症状是咳嗽咳痰（92.1％）及呼吸困难（76.3％）,体征常见窦性心动过速（73.7％）、下肢不对称性肿胀（55.3％）;动脉血气PaCO2下降或呈Ⅰ型呼吸衰竭表现;D-二聚体＞0.5 mg/L患者占84.2％,超声心动图多伴肺动脉高压（占65.8％）,下肢深静脉血栓形成患者占76.3％.结论：AECOPD合并PE有一定的临床特点,根据这些特点对诊断合并PE有一定临床意义.

The clinical analysis of 38 cases of acute exacerbation of chronic obstructive pulmonary disease combined with pulmonary embolism

Objective： To investigate the clinical characteristics of acute exacerbation of chronic obstructive pulmonary disease （AECOPD） combined with pulmonary embolism （PE）. Methods： The clinical data of 38 cases of AECOPD combined with PE diagnosed from January,2012 to January, 2014 were analyzed retrospectively. Results： AECOPD complicated with corpulmonary was easily prone to combining with PE （86.8%）. The most apparent symptom were cough and expectoration （92.1%） ,and dyspnea （76.3%）. The common sign were the fast heart rate （73.7%） and asymmetric swelling of lower limbs（55.3%）. Decrease of PaCO2 or type I respiratory failure appeared in blood gas analysis,D-dimer〉0.5mg/L accounted for 84.2 %, deep venous thrombosis accounted for 76.3%, hypertension of pulmonary artery were found in ultrasonic cardiogram （65.8%）. Conclusion： There are some clinical characteristics in AECOPD combined with PE, which should be alert to the diagnosis of PE.