摘要
肺栓塞是由内源性或外源性栓子堵塞肺动脉引起肺循环障碍所致的一组病理生理综合征,其发病率、病死率及临床误诊率较高,我国的肺栓塞误诊率〉80%[1].现将我院2007年3月~2010年12月收治的26例曾误诊为其他疾病的肺栓塞患者分析如下.
参考文献5
-
1王辰.肺栓塞[M].北京:人民卫生出版社,2004:3-4.
-
2Anderson FA. Spencer FA. Risk factors for ve ncus Thromboembol: sm [ J ]. Circulation, 2003,107 (23 suppl1 ) :9.
-
3刘锦铭,高蓓兰,江平,吴文,李霞.肺血栓栓塞症44例临床分析[J].上海医学,2006,29(10):715-717. 被引量:11
-
4贾卫滨,张春秀,顼志敏.中国肺动脉栓塞误诊近四年文献分析[J].中华心血管病杂志,2006,34(3):277-280. 被引量:105
-
5谷国强,崔炜.急性肺栓塞患者危险分层的生物学指标[J].国际心血管病杂志,2006,33(2):110-113. 被引量:22
二级参考文献40
-
1[1]Kucher N,Walpoth N,Wustmann K,et al.QR in V1-an ECG sign associated with right ventricular strain and adverse clinical outcome in pulmonary embolism[J].Eur Heart J,2003,24:(12) 1113-1119.
-
2[2]Guidelines on diagnosis and management of acute pulmonary embolism.Task Force on Pulmonary Embolism,European Society of Cardiology[J].Eur Heart J,2000,21(16):1301-1336.
-
3[3]Goldhaber SZ,Visani L,De Rosa M.Acute pulmonary embolism:clinical outcomes in the International Cooperative Pulmonary Embolism Registry (ICOPER)[J].Lancet,1999,353(9162):1386-1389.
-
4[4]Wu AH,Feng YJ,Moore R,et al.Characterization of cardiac troponin subunit release into serum after acute myocardial infarction and comparison of assays for troponin T and I.American Association for Clinical Chemistry Subcommittee on cTnI Standardization[J].Clin Chem,1998,44 (6 Pt 1):1198-1208.
-
5[5]Müller-Bardorff M,Weidtmann B,Giannitsis E,et al.Release kinetics of cardiac troponin T in survivors of confirmed severe pulmonary embolism[J].Clin Chem,2002,48 (4):673-675.
-
6[6]Douketis JD,Crowther MA,Stanton EB,et al.Elevated cardiac troponin levels in patients with submassive pulmonary embolism[J].Arch Intern Med,2002,162(1):79-81.
-
7[7]Meyer T,Binder L,Hruska N,et al.Cardiac troponin I elevation in acute pulmonary embolism is associated with right ventricular dysfunction[J].J Am Coll Cardiol,2000,36 (5):1632-1636.
-
8[8]Mehta NJ,Jani K,Khan IA.Clinical usefulness and prognostic value of elevated cardiac troponin I levels in acute pulmonary embolism[J].Am Heart J,2003,145(5):821-825.
-
9[9]Yalamanchili K,Sukhija R,Aronow WS,et al.Prevalence of increased cardiac troponin I levels in patients with and without acute pulmonary embolism and relation of increased cardiac troponin I levels with in-hospital mortality in patients with acute pulmonary embolism[J].Am J Cardiol,2004,93 (2):263-264.
-
10[10]Konstantinides S,Geibel A,Olschewski M,et al.Importance of cardiac troponins I and T in risk stratification of patients with acute pulmonary embolism[J].Circulation,2002,106(10):1263-1268.
共引文献148
-
1郭丽慧.银杏达莫注射液联合华法林对急性高危肺栓塞患者凝血纤溶指标的影响[J].航空航天医学杂志,2021,32(10):1223-1225.
-
2宋金梅.急性肺动脉栓塞24例诊治体会[J].郑州大学学报(医学版),2007,42(4):812-813.
-
3徐丹,廖绍宗,倪琳婷,涂彩霞,蒋莉.肺栓塞患者D二聚体、纤维蛋白原测定的临床意义[J].血栓与止血学,2010,16(6):275-280. 被引量:15
-
4薛伟珍,任洁,王计良,姜兆秀,杨丽峰,王晨.24例肺栓塞误诊分析及防范[J].中国民康医学,2006,18(15):711-712.
-
5谭洪勇,张金国,贾存显,刘向群.肺血栓栓塞症患者的高危因素及预防[J].济宁医学院学报,2006,29(3):32-33.
-
6张云,杨敏,蔡裕福,张汉灵.肺动脉栓塞31例心电图表现分析[J].中国基层医药,2006,13(10):1712-1712. 被引量:2
-
7孙海慧,徐忠,候云.肺动脉栓塞68例临床分析[J].社区医学杂志,2006,4(11S):79-79.
-
8刘振邦,董兵,陈东红.Ⅲb期肺癌扩大根治手术116例并发症的防治分析[J].中国误诊学杂志,2007,7(3):557-558.
-
9李春辉,刘际清,刘剑立,张纯利,何瑞.140例肺栓塞患者的诊断时间过程分析[J].解放军保健医学杂志,2007,9(1):26-28.
-
10贾卫滨,何东华,顼志敏.肺栓塞心电图鉴别诊断及研究进展[J].中国实用内科杂志,2007,27(5):382-385. 被引量:30
-
1欧阳晶星.心包积液85例病因分析[J].华西医学,2002,17(2):219-219. 被引量:4
-
2褚晓波.主动脉夹层33例临床诊治分析[J].中华危重病急救医学,2008,20(12). 被引量:16
-
3杨建章,赵璇.急性主动脉夹层15例误诊分析[J].中国综合临床,2010,26(12):1337-1337. 被引量:1
-
4王雯,哈木拉提,黄亦芬.肺血栓栓塞症38例临床分析[J].心肺血管病杂志,2002,21(1):23-23. 被引量:1
-
5郭长江.心包积液72例病因分析[J].现代医药卫生,2010,26(16):2507-2508.
-
6陈良杰.原发性痛风92例临床分析[J].中国冶金工业医学杂志,2006,23(2):243-243.
-
7王雯.肺栓塞临床诊治进展[J].中国医刊,2003,38(1):21-24. 被引量:13
-
8詹霄,徐晓峰,王为岗.原发性甲状旁腺功能亢进症早中期X线诊断与误诊分析(附1例报告)[J].实用医学影像杂志,2001,2(2):114-115.
-
9张小兵.支气管内膜结核的CT诊断[J].山西医药杂志(下半月),2008,37(2):163-164.
-
10尤华,吴雁鸣,叶福龙,王维中,陈群娟.肺血栓栓塞症误诊分析[J].Journal of US-China Medical Science,2008,5(7):59-60.