Objectives To investigate the clinical feature of acute pulmonary embolism. Methods Retrospective clinical analysis was performed according to the data of 38 cases of pulmonary embolism. Results There were ground dise...Objectives To investigate the clinical feature of acute pulmonary embolism. Methods Retrospective clinical analysis was performed according to the data of 38 cases of pulmonary embolism. Results There were ground diseases and predisposing factors in 36 cases of pulmonary embolism among 38 cases, the ratio was 94. 7%, among the total predisposing factors, tumor, cardiovascular disease, venous thrombosis of lower extremity, smoking and long-term bed were common. There was no specificity in clinical feature, physical sign and rout chest X ray, electrocardiography, and their appearances were diversified. There were specificity and sensitivity in echocardiogram （UCG） and D-dimer to some extent. But, the final diagnosis must depend on some special examinations, such as selective pulmonary arteriography, CTPA, MRA and so on. Conclusions The special examinations must be done to make a definite diagnosis to confirm pulmonary embolism when the high risk factors and ground diseases are existing. It is necessary to some cases when the clinical feature can not be explained by other diseases.展开更多
A novel coronavirus disease 2019(COVID-19)emerged around December 2019 in Wuhan,China and has spread rapidly worldwide(Lu et al.,2020).Until March 27,2020,the Chinese health authorities had reported 82082 confirmed CO...A novel coronavirus disease 2019(COVID-19)emerged around December 2019 in Wuhan,China and has spread rapidly worldwide(Lu et al.,2020).Until March 27,2020,the Chinese health authorities had reported 82082 confirmed COVID-19 cases in China with 3298 deaths and 381443 confirmed cases with 20787 deaths outside China.The World Health Organization(WHO)named the virus SARS-CoV-2,which belongs to a distinct clade from the human severe acute respiratory syndrome CoV(SARS-CoV)and Middle East respiratory syndrome CoV(MERSCoV)(Zhu et al.,2020).展开更多
文摘Objectives To investigate the clinical feature of acute pulmonary embolism. Methods Retrospective clinical analysis was performed according to the data of 38 cases of pulmonary embolism. Results There were ground diseases and predisposing factors in 36 cases of pulmonary embolism among 38 cases, the ratio was 94. 7%, among the total predisposing factors, tumor, cardiovascular disease, venous thrombosis of lower extremity, smoking and long-term bed were common. There was no specificity in clinical feature, physical sign and rout chest X ray, electrocardiography, and their appearances were diversified. There were specificity and sensitivity in echocardiogram （UCG） and D-dimer to some extent. But, the final diagnosis must depend on some special examinations, such as selective pulmonary arteriography, CTPA, MRA and so on. Conclusions The special examinations must be done to make a definite diagnosis to confirm pulmonary embolism when the high risk factors and ground diseases are existing. It is necessary to some cases when the clinical feature can not be explained by other diseases.
基金This work was supported by the Natural Science Foundation of Guangdong Province(2018A030313652)the National Mega Project on Major Infectious Disease Prevention(2017ZX10103011).
文摘A novel coronavirus disease 2019(COVID-19)emerged around December 2019 in Wuhan,China and has spread rapidly worldwide(Lu et al.,2020).Until March 27,2020,the Chinese health authorities had reported 82082 confirmed COVID-19 cases in China with 3298 deaths and 381443 confirmed cases with 20787 deaths outside China.The World Health Organization(WHO)named the virus SARS-CoV-2,which belongs to a distinct clade from the human severe acute respiratory syndrome CoV(SARS-CoV)and Middle East respiratory syndrome CoV(MERSCoV)(Zhu et al.,2020).
