临床不典型肺动脉栓塞36例诊断体会

Experience on Diagnosis of Atypical Pulmonary Embolism on 36 Cases

目前 ,国内对肺动脉栓塞 (PE)的警惕性不高 ,漏诊率高达 80 % 〔1〕以上 ,正确诊断率低 ,误诊率高。未经治疗死亡率可高达 2 0 %～ 30 % 〔1〕。诊断明确并经过积极治疗者 ,其死亡率可降至 2 %～ 8% 〔1〕。因此 ,正确诊断及早期治疗至关重要。通过我们诊治的 36例临床不典型的PE病例 ,认为临床医师最首要的是应致力于强化对PE的诊断意识 。

The precaution of pulmonary embolism was not pay much attention and misdiagnosis rate was over 80%. The mortality could reach 20～30% without treatment. The mortality after obtained diagnosis and treatment could decrease 2～8%. The correct diagnosis and early treatment were most important. This paper emphasized that the physician should strengthen the comprehension of PE diagnosis and improve the recognition.