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目的:结合文献分析总结急性肺栓塞的临床特点,提高临床医师对该病的认识而加以预防,并进行有效的诊治。方法:对本院6例诊治为急性肺栓塞的临床表现和诊断治疗方法进行回顾性分析.结果:急性肺栓塞主要表现为,呼吸困难、胸痛、心悸、晕厥等无特异性表现。典型三联无一例表现,均通过CT肺动脉造影确诊,2例溶栓加抗凝治疗,4例单纯抗凝治疗。结论:CT肺动脉造影可对肺栓塞进行诊断,单纯抗凝也能达到满意治疗效果。
OBJECTIVE: To analyze and summarize the clinical features of acute pulmonary embolism in the literature, to improve clinicians’ awareness of the disease and to prevent them, and to carry out effective diagnosis and treatment. Methods: The clinical manifestations and diagnosis and treatment of 6 cases diagnosed as acute pulmonary embolism in our hospital were retrospectively analyzed.Results: The main manifestations of acute pulmonary embolism were non-specific manifestations of dyspnea, chest pain, palpitations and syncope. None of the typical triple manifestations were confirmed by CT pulmonary angiography, 2 cases of thrombolysis plus anticoagulant therapy, 4 cases of simple anticoagulant therapy. Conclusion: CT pulmonary angiography can diagnose pulmonary embolism, anticoagulation alone can achieve satisfactory therapeutic effect.