论文部分内容阅读
长期以来认为我国肺栓塞(PE)很少见,一些临床医师在诊断和鉴别诊断时很少想到它,致使我国PE的误诊率高达80%以上,在有些医院可能更高。因此,越发造成一个错误的印象,我国PE“确很少见”。由于实践不多,经验较少,对PE的诊治常感十分困惑。其实,我国PE并不少见,根据“急性PE尿激酶溶栓、栓复欣抗凝多中心临床试验”课题组22所医院2年的统计,共诊治急性PE297例,其中有的医院收治的患者成几倍到十几倍的增长;国内一些其他医院发现的PE患者也越来越多。这一增多趋势除可能与PE发病率增高有关外,更主要的是与对PE的诊断意识和技术提高有关。
For a long time, PE was rarely seen in our country. Some clinicians seldom think of it in the diagnosis and differential diagnosis. As a result, the misdiagnosis rate of PE in our country is over 80%, which may be higher in some hospitals. Therefore, more and more to create a wrong impression, PE “really rare.” Due to little practice, less experience, the diagnosis and treatment of PE often feel very confused. In fact, PE is not uncommon in our country. According to the statistics of 22 hospitals in 22 anticoagulation clinical trials of “acute PE urokinase thrombolysis and fibrinolysis”, a total of 297 cases of acute PE were treated and treated, and some of the patients admitted to the hospital Into several times to more than ten times the growth; some other hospitals in China found PE more and more. In addition to this increased trend may be related to PE increased incidence, but more importantly, the awareness of PE and technology to improve.