急性肺栓塞的临床诊断及治疗方法探讨

Clinical Diagnosis and Treatment of Acute Pulmonary Embolism

目的探讨急性肺栓塞的正确诊断程序及治疗方法。方法对2015年10月至2017年10月确诊的32例急性肺栓塞患者的临床诊治过程进行回顾分析。结果对急性肺栓塞的诊断除了根据常见的症状与体征外,需配合血气分析、心电图、D-二聚体、胸部CT、超声等进行辅助检查方可明确诊断;联用溶栓、抗凝对急性肺栓塞治疗效果更优越。结论对于血流动力学不稳定的急性肺栓塞的诊断,需配合床旁无创检查方可快速确立诊断并指导临床治疗。因此,早期明确诊断、早期对症治疗,不但可提高医疗质量,降低肺栓塞患者的病死率,同时也可以提升医院的信誉度,减少医疗纠纷的发生。

Objective To investigate the correct diagnosis procedure and treatment of acute pulmonaryembolism. Methods The clinical diagnosis and treatment of 32 patients with acute pulmonary embolism from October2015 to October 2017 were analyzed retrospectively. Results In addition to the common symptoms and signs, thediagnosis of acute pulmonary embolism can only be made by supplementary examinations such as blood gas analysis,electrocardiogram, D-dimer, chest CT and ultrasound;Thrombolytic therapy combined with anticoagulation is moreeffective in treating acute pulmonary embolism. Conclusion For the diagnosis of acute pulmonary embolism withunstable hemodynamics, it is necessary to cooperate with bedside non-invasive examination to quickly establish thediagnosis and guide the clinical treatment.Therefore, early diagnosis and symptomatic treatment can not only improvethe medical quality and reduce the mortality of patients with pulmonary embolism, but also enhance the credibility ofthe hospital and reduce the occurrence of medical disputes.