摘要
肺血栓栓塞症 (PTE)临床表现谱极广且无特异性。若不考虑慢性血栓栓塞性肺动脉高压 ,可将PTE分为三种主要临床类型 :急性非大面积PTE ,急性大面积PTE及亚急性大面积PTE。急性非大面积PTE最常见的症状是突发的呼吸困难、胸痛和心动过速 ,急性大面积PTE可有急性肺原性心脏病、晕厥、心源性休克和猝死等表现。亚急性大面积PTE则多为类似心衰或肺炎表现 ,特别是在老年患者。
出处
《国外医学(呼吸系统分册)》
2004年第5期295-297,共3页
Section of Respiratory System Foreign Medical Sciences
参考文献16
-
1肺血栓栓塞症的诊断与治疗指南(草案)[J].中华结核和呼吸杂志,2001,24(5):259-264. 被引量:1838
-
2Wells PS,Anderson DR,Rodger M,et al.Excluding pulmonary embolism at the bedside without diagnostic imaging:management of patients with suspected pulmonary embolism presenting to the emergency department by using a simple clinical model and D-dimer.Ann Int
-
3Kurkciyan I,Meron G,Sterz F,et al.Pulmonary embolism as cause of cardiac arrest.Arch Intern Med,2000,160:1529-1535.
-
4Pineda LA,Hathwar VS,Grant BJ,et al.Clinical suspicion of fatal pulmonary embolism.Chest,2001,120:791-795.
-
5Stein PD,Henry JW.Clinical characteristics of patients with acute pulmonary embolism stratified according to their presenting syndromes.Chest,1997,112:974-979.
-
6Ryu JH,Olson EJ,Pellikka PA,et al.Clinical recognition of pulmonary embolism:problem of unrecognized and asymptomatics cases.Msyo Clin Proc,1998,73:873-879.
-
7Vieillard-Baron A,Page B,Augarde R,et al.Acute cor pulmonale in massive pulmonary embolism: incidence,echocardiographic pattern,clinical implications and recovery rate.Intensive Care Med,2001,27:1481-1486.
-
8Doerge HC,Schoendube FA,Loeser H,et al.Pulmonary embolectomy:review of a 15-year experience and role in the age of thrombolytic threrapy.Eur J Cardiothorac Surg,1996,10:952-957.
-
9Tapson VF,Witty LA.Massive pulmonary embolism: diagnostic and therapeutic strategies.Clin Chest Med,1995,16:329-340.
-
10British Thoracic Society.British Thoracic Society guidelines for the management of suspected acute pulmonary embolism.Thorax,2003,58:470-483.
共引文献1837
-
1刘煜.那屈肝素钙联合法舒地尔对肺血栓栓塞症患者肺动脉血气指标的影响[J].中国医学工程,2020,0(2):109-111.
-
2高杰,刘晓阁.慢性肺栓塞患者右心室超声心动图特征分析[J].社区医学杂志,2020(7):509-512. 被引量:1
-
3张静.急性肺栓塞溶栓前后的心电图对比研究[J].中国急救医学,2018,38(A01):52-52.
-
4严彩虹.一例老年急性肺栓塞患者的临床护理[J].临床研究,2014,22(7):141-141. 被引量:1
-
5李明磊,许西琳,刘冬,何小双,刘敏,翟润晴.石河子地区住院患者肺血栓栓塞症的规范化诊治情况分析[J].医学信息,2017,30(4):42-45. 被引量:1
-
6彭庆福.下肢深静脉血栓合并肺栓塞26例临床分析[J].医学信息(医学与计算机应用),2014,0(18):572-572.
-
7杨桂美,熊新发,夏志伟,施雄飞.急性肺栓塞的临床特点、诊治分析及相关体会[J].医学信息(医学与计算机应用),2014,0(18):452-452. 被引量:2
-
8王威,梁金清,邹小英,巫艳彬,陈泉芳.肺血栓栓塞症的急诊首诊思路[J].医学信息(医学与计算机应用),2014,0(4):178-178.
-
9李军,马文,王磊,马俊文,李亦工,马启斌.胃肠道肿瘤术后肺栓塞的临床分析[J].世界临床医学,2017,11(18):54-54.
-
10邓凌波.肺栓塞4例误诊分析[J].广西医学,2004,26(3):418-419. 被引量:1
同被引文献11
-
1李冲云.多排螺旋CT诊断肺动脉栓塞的临床价值[J].临床和实验医学杂志,2007,6(1):160-161. 被引量:4
-
2Kucher N,Goldhaber SZ.Cardiac biomarkers for risk stratification of patients with acute pulmonary embolism[J].Circulation,2003,108(18):2191-2194.Comment in:Circulation,2004,109(16):e194.
-
3张俊慧.肺血栓栓塞症临床特点及诊断进展.中华中西医杂志,2007,8(13).
-
4ten Wolde M,Tulevski II,Mulder JW,et al.Brain natriuretic peptide as a predictor of adverse outcome in patients with pulmonary embolism[J].Circulation,2003,107(16):2082-2084.
-
5Han D,Lee KS,Franquet T,et al.Thrombotic and nonthrombotic pulmonary arterial embolism:spectrum of imaging findings[J].Radiographics,2003,23(6):1521-1539.
-
6Moser KM,Auger WR,Fedullo PF,et al.Chronic thromboembolic pulmonary hypertension:clincal picture and surgical treatment[J].Eur Respir J,1992,5:334-342.
-
7Ferrari E,Baudouy M,CERboni P.Clinical epidemiology of venous thromblitic disease.Results of a French multicentre registry[J].Eur Heart J,1997,18:685-691.
-
8刘双,张维君,梁瑛,杨京华,洪昭光,张京岚,胡尚基,高明哲.29例急性肺栓塞临床观察及治疗研究[J].中华心血管病杂志,1999,27(1):39-41. 被引量:33
-
9陆艳辉,赵彦芬,刘国仗,柳志红,陈白屏,程显声,惠汝太.肺栓塞诊断现况分析[J].中国循环杂志,2001,16(1):44-45. 被引量:59
-
10朱继红,赵洪东.肺栓塞63例临床分析[J].中国医刊,2003,38(8):32-35. 被引量:5
二级引证文献2
-
1张敏,潘丽,文佳.彩色多普勒超声心动图在急性肺动脉栓塞诊断中的价值[J].广西医学,2008,30(3):375-376. 被引量:5
-
2李洁,庞桂芬,李金玲,赵志伟,杨月.肺血栓栓塞症血流动力学改变的相关研究[J].承德医学院学报,2014,31(5):421-424. 被引量:1
-
1刘迎利.急性肺原性心脏病的护理[J].护士进修杂志,1996,11(5):3-4.
-
2钟华,万新纯.急性肺梗塞致急性肺原性心脏病误诊1例[J].解放军保健医学杂志,2001,3(4):253-254.
-
3宋淑英,孙晓凤,骆振艳,吴玉芬.急性肺栓塞的护理[J].护理实践与研究,2008,5(24):47-48. 被引量:4
-
4程显声.肺栓塞的临床表现与初步诊断[J].中华心血管病杂志,2001,29(5):262-263. 被引量:56
-
5王汇,何英,赵茜,袁亿里.成人肺栓塞的护理[J].护士进修杂志,2003,18(1):93-94. 被引量:6
-
6陆慰萱.中危急性肺血栓栓塞症患者的界定与治疗策略[J].中华医学杂志,2012,92(26):1804-1806. 被引量:3
-
7陈灏珠,胡德培.血栓栓塞性疾病的溶血栓治疗[J].医师进修杂志,1994,17(3):7-8. 被引量:6
-
8侯印西.影像学与临床表现密切结合诊断肺梗塞[J].宁夏医学杂志,2001,23(2):85-87. 被引量:1