肺动脉栓塞12例尸检临床病理分析

目的分析肺动脉栓塞的临床病理特征,提高临床对肺动脉栓塞(PTE)的认识水平,减少漏诊、误诊发生率。方法回顾分析我院1963年—2002年尸检证实的肺动脉栓塞12例临床及病理资料。结果12例均存在血栓性疾病的相关危险因素,基础疾病包括心脏疾病并充血性心力衰竭、肺肿瘤、创伤和手术、肺结核、肺炎、下肢静脉炎。伴发肺梗死7例。仅1例生前正确诊断。结论PTE的临床诊断困难,提高对PTE危险因素及临床规律的认识,有助于提高PTE的诊治水平,对高度怀疑者,尽早进入诊断程序。

Clinical pathological study on 12 cases of pulmonary thromboembolism by autopsy

Objective To promote the recognition of pulmonary thromboembolism(PTE) to decrease the rate of misdiagnosis and missed diagnosis by analyzing clinicopathologic characteristics.Methods The clinical and pathological data of 12 cases autopsy-proved of pulmonaryembolism from 1963-2002 were reviewed.Results Clinical and pathological features of 7 individuals with PI including congestive heartfailure,malignancy,pneu-monia,phlebitis of the legs.One patients were diagnosed as PTE prior to death.Conclusion All patients with otherwise severs unexplained dyspnea or chest pain have to be sent for perfusionl lung scintigraphy,accordingly,underdetection of pulmonary bolism and mortality of pulmonary embolism could be reduced.