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目的:对发生的肺栓塞(PE)做了临床分类,并评价不同类型所采用的不同治疗对策。方法:1995年12月～2000年7月入院的PE患者37例。对31例急性PE采用静脉溶栓或导管介入治疗。结果:急性PE37例初诊总误诊率为61.1％,总死亡率为27.0％;术后发生PE9例的初诊误诊率为100％,死亡率为66.7％;急性PE的静脉溶栓有效率为77.7％。介入治疗可使急性广泛型PE迅速摆脱临床症状。结论:1.PE的误诊率高,死亡率高,特别是术后发生的PE易引发临床纠纷。提高诊断意识和诊断水平是医生的当务之急。2.静脉溶栓是治疗急性PE的有效手段之一。3.危重急性PE的介入治疗具有良好的前景。
PURPOSE: To classify the occurrence of pulmonary embolism (PE) and to evaluate the different treatment strategies employed by different types. Methods: From December 1995 to July 2000, 37 patients with PE were admitted to hospital. Thirty-one patients with acute PE were treated with intravenous thrombolysis or catheterization. Results: The total misdiagnosis rate of acute PE37 cases was 61.1% and the total mortality rate was 27.0%. The first misdiagnosis rate of PE9 cases was 100% and the mortality rate was 66.7%. The effective rate of intravenous thrombolysis of acute PE was 77.7% . Interventional treatment can quickly get rid of acute broad-based clinical symptoms of PE. Conclusion: 1.PE misdiagnosis rate, high mortality, especially after the occurrence of PE prone to lead to clinical disputes. To raise the awareness of diagnosis and the level of diagnosis is a doctor’s top priority. 2. Intravenous thrombolysis is an effective means of treatment of acute PE. 3. The interventional treatment of critically ill PE has a good prospect.