急性肺栓塞四种临床评分方法的比较研究

Comparison study of four clinical scoring models for acute pulmonary embolism

本期介绍两篇研究报告均是临床型科研论文。它们的立足点是基于急诊科日常实践，得到的结论对于急诊科急性肺栓塞和心肺脑复苏临床工作有一定的指导意义。更为重要的是。廖晓星教授指导的这两篇论文为广大临床型研究生提供了很好的科研思路。目前一提到临床科研．很多人所想到的不是某种新药物就是高精尖的诊疗仪器。但我们每天工作中所参考、借鉴的各种指南、诊断和评分标准多是照搬原文的”舶来品”；在现阶段中国的国情下。它们究竟是否适合中国患者的疾病谱和临床实际？这里面有大量很有意义的话题值得深入研究。希望借此研究报告可以“抛砖引玉”。

Pulmonary embolism （PE） is a series of clinical and pathophysiological syndrome caused by thromboembolisrn comingfrom venous system or right heart cavity, or other emboli, entering pulmonary artery, making pulmonary circulation dysfunctional. The mortality of untreated PE is as high as 20%-30%. It is the third common cause of death and less important than coronary heart disease and neoplasm. If diagnosed and ：treated appropriately, the mortality would fall to 2%-8%. The general morbidity of PE in western countries is assessed about 0.5%0. At present, there is still no exact statistic data in China. A consecutive 900 autopsy cases-report proves that PE above segment accounts for 11.1% in cardiopulmonary disease, and is the first common disease in pulmonary diseases. Thus, the initial diagnosis of PE is very important for carrying out treatment timely and reducing the mortality.