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目的探讨急性动脉栓塞(PTE)诊断的线索。方法回顾分析20例PTE患者的基础疾病、临床表现、辅助检查在早期诊断的价值。结果 1PTE缺乏特异性临床表现,但临床表现和体征是疑诊的重要线索。2心电图、超声心动图、血气分析、双下肢深静脉彩超、D2聚体检测、螺旋CT检查能够为诊断提供线索。结论提高PET早期诊断率是治疗成功的关键。
Objective To investigate the clues of diagnosis of acute arterial embolism (PTE). Methods Retrospective analysis of 20 cases of PTE patients with underlying diseases, clinical manifestations, auxiliary examination in the early diagnosis of value. Results 1PTE lack of specific clinical manifestations, but the clinical manifestations and signs is an important clue to suspect. 2 electrocardiogram, echocardiography, blood gas analysis, double lower extremity deep venous ultrasonography, D2-body test, spiral CT examination can provide clues for the diagnosis. Conclusion Increasing the rate of PET early diagnosis is the key to successful treatment.