209例肺动脉血栓栓塞患者的诊疗体会

Diagnosis and Management Experience in 209 Patients with Acute or Chronic Pulmonary Thromboembolism

目的提高急、慢性肺动脉血栓栓塞患者临床诊断和治疗的有效率,以改善患者预后及生活质量。方法回顾性分析我院2012年1月至2013年12月收治的209例急、慢性肺动脉血栓栓塞患者的临床资料,包括患者临床表现、高危因素、临床诊断、治疗等方面。结果急、慢性肺动脉血栓栓塞患者的临床表现主要为呼吸困难,此外还有胸痛、咯血、惊恐、昏厥等症状;高危因素有深静脉血栓形成、恶性肿瘤、吸烟、心脏病等;临床诊断方法主要是CT肺动脉造影,临床治疗主要是抗凝治疗。结论急、慢性肺动脉血栓栓塞患者的临床表现复杂多样,CT肺动脉造影可作为临床诊断肺栓塞的首选方法,早期准确诊断和及时有效治疗对于提高肺栓塞患者的临床治疗效果和预后具有重要意义。

Objective To improve the clinical efficient of diagnosis and management in acute or cnronic pulmonary thromboembolism, and improve patients prognosis and quality of life. Methods Chose 209 patients with acute or chronic pulmonary thromboembolism which were treated in our hospital in recent two years, relevant clinical data were retrospectively analyzed including the clinical manifestations, risk factors, clinical diagnosis, treatments and so on. Results The clinical manifestations of patients with acute or chronic pulmonary thromboembolism mainly behave as difficulty breathing, chest pain, hemoptysis, panic, fainting and other symptoms. The risk factors were deep vein thrombosis, malignant tumor, smoking and heart disease. CT pulmonary angiography was the mainly diagnostic method and anticoagulation was the mainly treatment. Conclusions The clinical manifestations of patients with acute or chronic pulmonary thromboembolism were complex and varied, CT pulmonary angiography is a good method in diagnosis of pulmonary embolish, early accurate diagnosis and effective treatment were much important to patients with acute or chronic pulmonary thromboembolism in improving the clinical output and prognosis.