摘要
目的:评价肺栓塞的诊断方法、临床特征和治疗效果,进行预后因素分析。方法:对我院2007年1月～2009年1月确诊的30例肺栓塞患者的诊断方法、临床特征、治疗方法等进行分析。结果:30例肺栓塞患者中,低氧血症75%,D-二聚体>500μg/L 80%,增强螺旋CT和肺动脉造影敏感性为76.7%和100%。接受溶栓治疗的17例中有2例死亡,接受抗凝治疗13例中死亡1例。结论:肺栓塞发病与易患因素密切相关,介入溶栓在急性大面积肺栓塞的病人中疗效确切,溶栓或抗凝治疗可提高患者生存率。
Objective： To evaluate clinical characteristics and theraputic effects in patients with pulmonary embolism（PE） ,and to analyze prognostic factors of PE. Method： The predisposing factors,diagnosis and treatment of 30 consecutive patients with established pulmonary embolism were analyzed retrospectively. Result： In all 30 patients with pulmonary embolism, 75% had hypoxemia, 80% had D-Direct 500 μg/L, the sensitivity of CT and pulmonary angiography were 76.7% and 100%. 17 patients received thrombolytic therapy, none died. The other 13 patients received anticoagulant therapy, one died. Conclusion： The inci- dence of pulmonary embolism is closely related to the associated factors. Interventional thrombolytic thera- py is effective in patients with acute massive PE. Thrombolytic treatment can improve the survival rate of patients with pulmonary embolism.
出处
《新疆医科大学学报》
CAS
2009年第10期1451-1452,共2页
Journal of Xinjiang Medical University
关键词
肺栓塞
诊断
危险因素
溶栓
pulmonary embolism
diagnosis
risk factors
thrombolytic therapy
