21例肺栓塞诊断治疗的临床分析

Diagnosis and treatment of pulmonary embolism: clinical analysis of 21 cases

目的评价肺栓塞的诊断方法与治疗措施。方法对2004年2月～2006年10月入院并确诊的21例肺栓塞的诊断方法、治疗措施进行分析。结果21例肺栓塞患者中,低氧血症96%,心脏超声典型改变的76%,增强多排CT敏感性95.8%,接受溶栓治疗3例中无1例死亡,接受抗凝治疗16例中1例死亡。结论肺栓塞的发病与易患因素密切相关,早期诊断,尽早溶栓及抗凝治疗,可改善预后,提高患者生存率。

[Objective] To assess the diagnosis and treatment measure of pulmonary embolism. [Methods] 21 patients with pulmonary embolism were received by our hospital from Feb 2004 to Oct 2006, the diagnosis methods and treatment measure were analyzed. [Results] In these 21 cases of pulmonary embolism, the aterial hypoxemia was 96%, typical feature of echocardiograms was 76%, the sensitivity by multi-slice spiral CT were 95.8%. There was no patient died, who were treated by urokinase infusion. One patient died in 10 patients, were treated by anfico-agulation therapy. [Conclusions] The incidence of pulmonary embolism is strongly associated with induced factors. Early diagnosis and treatment with urokinase infusion and anficoagulation therapy are able to improve the prognosis, as well as the survival rate.