期刊文献+

急性肺栓塞292例临床分析 被引量:28

原文传递
导出
摘要 目的总结急性肺栓塞特征性临床表现。方法回顾性分析292例急性肺栓塞患者的临床资料,分析其特征性临床表现、心电图改变及心肌损伤标志物的变化。结果 292例患者中128例(43.8%)具有胸痛症状,103例(35.3%)血清肌钙蛋白升高,208例(71.2%)心电图有T波倒置、ST段压低或抬高等心肌缺血改变。结论急性肺栓塞的特征性临床表现为胸痛、血清肌钙蛋白升高和心肌缺血性改变。
出处 《中华实用诊断与治疗杂志》 2013年第1期89-90,共2页 Journal of Chinese Practical Diagnosis and Therapy
  • 相关文献

参考文献8

  • 1Torbieki A, Perrier A, Konstantinides S, et al. Guidelines on the diagnosis and management of acute pulmonary embolism: the Task Force for the Diagnosis and Management of Aculc Pulmonary Embolism of the European Society of Cardiology (ESC)[J].Eur Heart J,2008,29(18):2276 -2315.
  • 2吴建祥.肺部弥漫性结节影CT诊断[J].中华现代影像学杂志,2007,4(9):38-39.
  • 3Konstantinides S, Geibel A, Olschewski M, et al. Importance of cardiac troponins 1 and T in risk stratification of palients with acute pulmonary embolism[J]. Circulation,2002,106(10) : 1263- 1268.
  • 4Portillo K, Belda J, Ant6n P, eta& High frequency of anemia in COPD patients admitted in a terdaryhospital[J]. RevClin Esp, 2007,207(8) :383-387.
  • 5Yeh K H, Chang H C. Massive pulmonary embolism with anterolateral ST-segment elevation: electrocardiogram limitations and the role off echocarcliogram [J]. Am J Emerg Med,2008,26(5) :632. e1- 3.
  • 6Kucher N, Walpoth N, Wustmann K, etal. QRin VI: an ECG sign associated with right ventricular strain and adverse clinical outcome in pulmonaryembolism[J]. Eur Heart J,2003,24(12): 1113-1119.
  • 7杨晓红,谷春玲,邬超,于丽侠.100例肺血栓栓塞症临床分析[J].中华实用诊断与治疗杂志,2011,25(6):598-599. 被引量:9
  • 8周跟东,张晓红,周炳凤,殷丽琼,施有为.冠状动脉造影未见异常的急性心肌梗死12例临床分析[J].中华实用诊断与治疗杂志,2010,24(12):1225-1226. 被引量:2

二级参考文献13

共引文献8

同被引文献227

  • 1黄小勇,张兆琪,杜靖,姜红.增强磁共振肺灌注扫描与核素肺通气/灌注扫描诊断肺动脉栓塞[J].中国医学影像技术,2005,21(8):1236-1238. 被引量:7
  • 2国家'十五'攻关'肺栓塞规范化诊治方法的研究'课题组,吴雅峰,王辰,张栋,杨媛华.超声心动图检测右心功能指标对急性肺栓塞不同治疗方法的评价[J].中国循环杂志,2007,22(1):41-44. 被引量:13
  • 3蔡柏蔷,李龙芸.协和呼吸病学[M].2版.北京:中国协和医科大学出版社,2006:805.
  • 4蔡柏蔷,李龙芸.协和呼吸病学第2版北京:中国协和医科大学出版社.2011.
  • 5Pruszczyk P, Torbicki A, Kuch-Wocial A, et al. Diagnostic value of transoesophageal echocardiography in suspected haemodynamically significant pulmonary embolism[J]. Heart, 2001,85(6);628-634.
  • 6Baile E M, King G G, Muller N L, et al. Spiral computed tomography is comparable to angiography for the diagnosis of pulmonary embolism[J]. Am J Respir Crit Care Med,2000,161 (3) ; 1010-1015.
  • 7Zophel K, Bacher Stier C, Pinkert J, et al. Ventilation/ perfusion lung scintigraphy;what is still needed? A review considering technetium-99m labeled macro-aggregates of albumin [J]. AnnNuclMed,2009,239(1):1 -16.
  • 8Kruip M J, Slob M J, Schijen J H, et al. Use of a clinical decision rule in combination with D-dimer concentration in diagnostic workup of patients with suspected pulmonary embolism: a prospective management study[J]. Arch Intern Med,2002,162(4) :1631- 1635.
  • 9Seo J B, Im J G, Goo J M, et al. Comparison of contrast enhanced CT angiography and gadolinium-enhanced MR angiography in the detection of subsegmental-sized pulmonary embolism: an experimental study in a pig model [J]. Acta Radiol, 2003,44(4) : 403-410.
  • 10Pedersen M R, Fisher M T, van Beck E J. CT imaging of the pulmonary vasculature an update[J]. Eur Radiol, 2006,16 (6) 1374-1386.

引证文献28

二级引证文献210

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部