论文部分内容阅读
目的：探讨心脏介入围术期肺栓塞患者的临床特点和相应的临床治疗效果。方法选取2011年6月-2013年6月期间本院收治的30例心脏介入手术围术期肺栓塞的患者，回顾性分析其临床资料，总结发生心脏介入围术期肺栓塞的临床特点。结果本组患者发生心脏围术期肺栓塞的临床症状较多，主要表现为呼吸急促和胸闷，分别有17例和27例患者；该病影响因素较多，其中年龄在70岁以上和卧床时间在24小时以上这两个因素占据的比重最大，前者有24例，后者有19例。此外，生化结果显示，25例患者的D2聚体呈阳性，22例患者出现低氧血症；心脏超声检查结果显示，18例患者右心室容积扩大，15例患者肺动脉高压。结论心脏介入围术期肺栓塞患者具有胸闷、呼吸困难等临床症状，大部分有低血氧症，超声检查提示为右心室容积扩大和肺动脉高压，全面掌握该并发症的各项临床特点有助于提高诊断率和治疗效果，改善患者预后。“,”Objectives:To investigate the clinical features and therapeuticeffect on Pulmonary Embolism Patients During Peri-Operative Pe-riod of Cardiac Intervention.Method:Retrospective analysis was adopted to 30 cases of children who have received the Cardiac Intervention Operation in our hospital during June, 2011 to June, 2013, to study the causes of Pulmonary Embolism patients during Peri-Operative Period of Cardiac Inter-vention and summarize their clinical features.Result: Pulomary embolism patients were characterized by shortness of breath and chest distress, re-spectively in 17 cases and 27 cases.There were many influencing factors, including the age over 70 and length of bed rest over 24 hours amounting to the top, with 24 cases and 19 cases respectively.Besides, according to the results of biochemical tests, 25 patients were positive for D2 polymer, 22 patients developed Arterial Hypoxemi.Right Ventricle enlargement was detected in 18 cases and Pulmonary Artery Hypertension in 22 cases by heart ultrasonography.Conclusion:Pulmonary embolism patients during peri-operative period of cardiac intervention are characterized by symptoms as chest distress and shortness of breath, with Arterial Hypoxemi, right ventricle enlargement and pulmonary artery hypertension according to the re-sults of ultrasonography.A comprehensive mastery of the complications is of great significance to improve the diagnosis accuracy rate and therapeutic effect, and hence the prognosis.