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目的总结肺栓塞的临床症状体征、治疗和预后,提高临床医生对肺栓塞诊断治疗的认识。方法回顾性分析2008-01-2011-05收治的65例肺栓塞患者的临床表现、辅助检查结果、诊断、治疗和预后。结果 65例肺栓塞临床表现以呼吸困难最为常见占86.1%,肺增强螺旋CT、肺动脉造影为肺栓塞确诊的重要手段。治疗以抗凝及溶栓治疗为主。结论提高肺栓塞患者的诊断,及时抗凝及溶栓等治疗,能够明显提高患者的生存率。
Objective To summarize the clinical signs and symptoms, treatment and prognosis of pulmonary embolism, and to improve the understanding of clinicians on the diagnosis and treatment of pulmonary embolism. Methods A retrospective analysis of 65 patients with pulmonary embolism admitted between 2008-01-2011-05 clinical manifestations, laboratory findings, diagnosis, treatment and prognosis. Results The clinical manifestations of 65 cases of pulmonary embolism with respiratory dysfunction, the most common accounted for 86.1%, pulmonary enhanced spiral CT, pulmonary embolism as an important means of diagnosis of pulmonary embolism. Treatment with anticoagulant and thrombolytic therapy based. Conclusions The improvement of diagnosis, timely anticoagulation and thrombolysis in patients with pulmonary embolism can significantly improve the survival rate of patients.