肺血栓栓塞症44例临床分析
蒋洁菡 1肖奎 2朱锦琪 1刘胜岗 1杨红忠 1彭毅强1
作者信息
- 1. 长沙市中心医院呼吸内科 410000
- 2. 中南大学湘雅二医院呼吸内科 410006
- 折叠
摘要
目的：分析肺栓塞（PTE）的临床特点，探讨其易患因素、临床特征、早期诊断及疗效。方法回顾性分析长沙市中心医院住院诊断的44例肺栓塞患者的临床资料。结果 PTE患者存在易患因素，以下肢深静脉血栓形成为最常见，其症状和体征是非特异性的。CT肺动脉造影（CTPA）等检查均有助于诊断。早期积极溶栓、抗凝治疗可降低病死率。结论提高对PTE的认识对及时准确诊断PTE 具有重要意义；CTPA是主要的确诊手段，抗凝治疗安全有效，放置下腔静脉滤器应严格按指南进行。
Abstract
Objective To investigate the clinical symptoms of pulmonary thromboembolism (PTE) patients, thus to discuss the risk factors, clinical features, early diagnosis and treatment of PTE. Methods The clinical data of 44 patients hospitalized with PTE in Changsha Central Hospital were reviewed. Results PTE patients were associated with a number of risks including lower limbs venous thrombosis, the most frequent risk factor, and clinical symptoms and signs of PTE were usual y nonspecific. CT pulmonary angiography (CTPA) were helpful to the diagnosis. Early thrombolysis and anticoagulation therapy decreased the case fatality rate. Conclusions We should improve the recognition of PTE clinical features, which is important to get early and precise diagnosis and decrease the mortality and misdiagnosis. CTPA is the most reliable diagnosing method. Anticoagulation therapy is safe and effective, while the implantation of vena cava filter should be more restricted by the guidelines.
关键词
肺血栓栓塞症/深静脉血栓形成/诊断/治疗/预后Key words
pulmonary thromboembolism/Deep vein thromboembolism/Diagnosis/Treatment/Prognosis引用本文复制引用
出版年
2014
NETL
NSTL
万方数据