肺栓塞139例危险分层分析

Analysis of risk stratification in 139 cases of pulmonary embolism

目的结合2008年欧洲心脏病协会颁布的新急性肺栓塞（PE）诊治指南，回顾性分析肺栓塞的危险分层。方法总结2003-2008年临床诊断的139例急性肺栓塞病例，收集临床资料，进行统计分析。结果139例病例中资料齐全能够进行危险分层的仅有67例（48.20％），其中高危组11例（16.41％），中危组47例（70.14％），低危组9例（13.45％）。结论在临床工作中应注意进行肺栓塞的危险分层，并根据危险分层指导肺栓塞的治疗。

Objective To retrospectively analyze the risk stratification in pulmonary embolism （PE） according to the new guidelines issued by the European Society of Cardiology （ESC） on the diagnosis and management of acute PE. Methods The clinical data of 139 PE eases from 2003 to 2008 were collected and analyzed. Results There were only 67（48.20%） cases who had plenty of data to make the risk stratification among the whole 139 cases. These 67 cases could be classified into 3 groups： high - risk PE （11,16.41%） , intermediate - risk PE （47,70.14%） and low - risk PE （ 9,13.45%）. Conclusion Clinicians should pay more attention to the risk stratification of pulmonary embolism and choose the treatment according to the risk stratification in clinical practice.