论文部分内容阅读
目的:为提高急性肺动脉栓塞的诊断和治疗水平,分析60例急性肺栓塞患者的临床特点及抗凝、溶栓的治疗效果。方法选择根据临床特征、超声心动图、放射性核素肺灌注/通气扫描(ECT)或电子计算机断层显像、核磁共振、选择性肺动脉造影检查确诊的60例急性肺动脉栓塞病例,分析常见病因、症状、体征及实验室检查结果,比较21例抗凝治疗及30例溶栓加抗凝治疗的治疗效果。结果:本组60例病死率为20.0%,溶栓治疗好转率为90.0%,抗凝治疗好转率57.1%。结论:急性肺栓塞是一种常见病,有较高的死亡率;放射性核素肺灌注通气扫描、肺动脉造影具有很高的诊断价值;及时诊断和治疗可显著降低病死率和病残率,溶栓治疗效果优于抗凝治疗。
Objective: To improve the diagnosis and treatment of acute pulmonary embolism, analyze the clinical features and anticoagulation and thrombolysis in 60 patients with acute pulmonary embolism. Methods Sixty cases of acute pulmonary embolism confirmed by clinical features, echocardiography, radionuclide perfusion / ventilation (ECT) or computed tomography, nuclear magnetic resonance and selective pulmonary angiography were selected to analyze the common causes and symptoms , Signs and laboratory findings, compared 21 cases of anticoagulant therapy and 30 cases of thrombolysis plus anticoagulant therapy. Results: The case fatality rate of 60 cases in this group was 20.0%. The improvement rate of thrombolytic therapy was 90.0% and the improvement rate of anticoagulant therapy was 57.1%. Conclusion: Acute pulmonary embolism is a common disease with high mortality rate. Radionuclide lung perfusion ventilation and pulmonary angiography have high diagnostic value. Timely diagnosis and treatment can significantly reduce mortality and morbidity, Suppository treatment is better than anticoagulant therapy.