急性肺栓塞临床分析

目的探讨急性肺栓塞的临床特点、诊断，以提高该病的诊断率。方法对30例急性肺栓塞患者的临床表现、影像学特点、诊断及治疗方法进行分析总结。结果急性肺栓塞临床表现无特异性，常表现为呼吸困难（83％）、胸痛（60％）、咯血（33％）等、咳嗽（32％）、恐惧（43％）、晕厥（20％）、心悸（33％）。影像学特点呈多样性改变。主要治疗方法为溶栓抗凝治疗。结论急性肺栓塞临床表现不典型，易误诊。提高对该病的认识有助于早期诊断，无创检查在确诊中起重要地住，及时溶栓抗凝对预后起关键作用。

Diagnosis and treatment of acute pulmonary embolism

Objective To investigate the clinical characteristics of, diagnosis acute pulmonary embolism in order to elevate its diagnosis rate. Methods 30 cases with acute pulmonary embolism diagnosed during 1998 to 2007 were retrospectively analyzed, and the literature were reviewed with regard to its clinical manifestation, image characteristics, diagnosis and treatment. Results Clinical manifestations of acute pulmonary embolism were multifarious. The most common symptoms were dyspnea （83%）,thoracalgia （60%）,hemoptysis （33%）,cough （32%）,panic （43%）,syncope （20%） and palpitation （33%）. Its image characteris ties were multifarious. Conclusion The clinical manifestations of acute, pulmonary embolism are nonspecific. Recognition of its characteristics is necessary for early diagnosis, definite diagnosis is usually made by non-invasive examination.