摘要
目的:探讨肺动脉血栓栓塞症(pulmonary thrombo embolism,PTE)的早期诊断与治疗方法。方法:回顾性分析2006年1月～2008年12月在我院心内科住院患者中的26例确诊PTE患者的危险因素、临床表现、辅助检查及治疗情况。所有患者均进行心电图、超声心动图、血气分析、D-二聚体、双下肢深静脉超声及螺旋CT增强扫描等相关检查。结果:PTE缺乏特异性临床表现,但临床症状和体征能提供重要线索;心电图、超声心动图、血气分析D-二聚体、双下肢深静脉超声及肺动脉CTA均能够为PTE早期确诊提供有力的证据;早期溶栓及抗凝治疗可有效降低病死率,改善预后。结论:提高PTE的早期诊断率、尽早溶栓及抗凝治疗是治疗成功、改善预后的关键。
Objective：To probe the early diagnosis and therapeutic method of PTE.Methnds：To retrospective study the risk factors,clinical manifestation,auxiliary examination and therapeutics information of 26patients during journey 2006 to December 2008. All the patients should undertake the relative examination such as ECG ultrasonic cardiogram dipolymer spiral CT.Results：PTE is short of Specificityclinical manifestation.but Clinical symptoms could provide important clews.ECG ultrasonic cardiogram dipolymer and spiral CT could provide strong evidence.Conclusion：The important turning poin for the PTE is early diagnosis thrombolysis anticoagulant therapy.
出处
《中国医药导刊》
2011年第3期426-427,共2页
Chinese Journal of Medicinal Guide
