126例肺血栓栓塞的临床诊治分析

Clinical analysis on diagnosis and treatment of 126 cases of pulmonary thromboembolism

目的探讨肺血栓栓塞的危险因素、临床表现、诊断及治疗。方法回顾性分析中山大学附属第一医院2009年1月至2012年9月收治的126例肺血栓栓塞患者的临床资料。结果 126例肺血栓栓塞患者中,治愈13例,好转103例,死亡5例,放弃治疗5例。结论肺血栓栓塞患者临床表现缺乏特异性,临床不排除肺血栓栓塞时,应结合D-二聚体、心电图、心脏彩超、下肢静脉彩超、CT肺动脉造影(CTPA)等检查,明确诊断,尽早给予溶栓或抗凝治疗。

Objective To investigate the predisposing factors,clinical manifestations,diagnosis and treatment of pulmonary thromboembolism（ PTE） patients. Methods The clinical data of 126 cases of PTE were retrospectively analyzed from January 2009 to September 2012. Results Among the 126 cases of PTE,13 recovered,103 improved,5 died,and 5 cases gave up treatment. Conclusion There is no specificity for the clinical manifestations of patients with pulmonary embolism. D-dimer,electrocardiogram,echocardiography,compression venous ultrasonography,and computed tomography pulmonary angiography should be combined to diagnose PTE. Thrombolytic or anticoagulant therapy should be given as early as possible after the diagnosis.