肺栓塞6例临床报告

目的　总结肺栓塞的形成、临床特点及治疗方法。方法　搜集卢旺达基本古医院 1997年 7月至 1999年 7月肺动脉栓塞 6例患者临床资料 ,对其诊断及治疗作分析总结。结果　肺动脉栓塞多见于手术后患者、老年人、久病卧床伴有高黏滞血症者 ,易形成深静脉血栓。临床表现为咳嗽、胸闷、胸痛、气短和呼吸困难 ,可通过血液流变学的检查协助诊断 ,多普勒彩超及血管造影、胸片确诊。结论　肺栓塞易被忽视 ,早期诊断和治疗对改善预后很有价值

A report of 6 cases of pulmonary embolism

Objective To summarize the formation,clinical characteristics and management of pulmonary embolism in 6 cases. Methods During Jul.1997 and Jul. 1999, 6 cases of pulmonary embolism were diagnosed and treated in the Kibvngo Hospital, Rwanda. Clinical data of these cases were analyzed. Results The cases consisted of the post-operation patients, elders, long time abed patients. All of them had high risk of deep vein thrombosis-hyperviscosity. Clinical symptoms included cough, chest tightness and pain, breathless and dyspnea. Diagnostic examinations included blood rheological test, color doppler flow imaging, angiography and chest X-ray. Conclusion It is not easy to detect pulmonary embolism, early diagnosis and therapy are essential for good prognosis.