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目的探讨急性肺血栓栓塞的临床特征及导致误诊发生的相关因素。方法选取新密市第一人民医院2011年6月至2012年6月收治的46例急性肺血栓栓塞患者的临床资料,回顾性分析患者的临床特征及发生误诊的相关原因。结果急性肺血栓栓塞患者无典型性临床症状,极易导致误诊发生。患者的临床表现主要为晕厥、呼吸困难、咯血、咳嗽、胸痛等,且影像学特征呈现出多样性特点。结论给予急性肺血栓栓塞患者及时、准确的诊断可有效提高患者的治疗效果,减少误诊现象,临床效果显著,值得推广和应用。
Objective To investigate the clinical characteristics of acute pulmonary thromboembolism and the related factors leading to misdiagnosis. Methods The clinical data of 46 patients with acute pulmonary thromboembolism who were admitted to Xinmin First People’s Hospital from June 2011 to June 2012 were retrospectively analyzed. The clinical features and the causes of misdiagnosis were retrospectively analyzed. Results Acute pulmonary thromboembolism patients without typical clinical symptoms, can easily lead to misdiagnosis. The main clinical manifestations of patients with syncope, dyspnea, hemoptysis, cough, chest pain, etc., and the imaging features showed a diversity of features. Conclusions The timely and accurate diagnosis of patients with acute pulmonary thromboembolism can effectively improve the therapeutic effect of patients and reduce the misdiagnosis. The clinical effect is significant and worthy of promotion and application.