肺栓塞36例诊治体会

A Retrospective Study of 36 Cases of Pulmonary Embolism

目的总结肺栓塞的临床特征,提高临床医生对该病的认识。方法分析36例肺栓塞患者的临床表现、辅助检查结果和诊断情况。结果肺栓塞的临床表现多种多样,缺乏特异性;动脉血气分析、心电图、胸部X线、UCG及血管超声对PE的诊断有重要提示作用;CT肺血管造影、核素肺通气/灌注显像、磁共振肺血管造影和肺动脉造影为肺栓塞确诊的重要手段。结论近年来,许多非侵入性诊断方法被应用,使PE的诊断准确性得以提高,临床医生应加强对之的认识,减少漏诊、误诊。

Objective To analyse the clinical characteristics of pulmonary embolism. Methods Retrospective review of 36 pulmonary embolisms, analysis of clinical manifestations, laboratory findings, imaging studies, diagnosis, therapy and prognosis. Results Pulmonary embolism varies in its symptoms, lacking of specificity. Arterial blood gases, electrocardiogram, chest radiography, echocardiogram and angioechography are useful methods to make the diagnosis, but they have no specificity for it. CT pulmonary angiography, ventilation-perfusion lung scans and magnetic resonance pulmonary angiography are also important diagnostic studies. Pulmonary arteriography is the definitive test. Conclusion Owing to the execution of many non-invasive methods, more and more cases have been diagnosed correctly recently. Physician must always take it into consideration in order in order to avoid misdiagnosis.