期刊文献+
共找到4篇文章
< 1 >
每页显示 20 50 100
基于YEARs评分诊断策略在急性肺栓塞中的临床应用探讨 被引量:6
1
作者 韩婧 邵翔 +4 位作者 刘敏 陶新曹 谢万木 刘维佳 翟振国 《中国实用内科杂志》 CAS CSCD 北大核心 2021年第5期396-400,共5页
目的基于YEARs评分探讨其对急性肺栓塞(APE)早期诊断的预测效能。方法纳入2017年1月1日至2017年12月31日在中日友好医院659例行CT肺动脉造影(CTPA)检查的住院或门诊患者,对所有纳入对象采用简化Wells评分、修订版Geneva评分、YEARs评分... 目的基于YEARs评分探讨其对急性肺栓塞(APE)早期诊断的预测效能。方法纳入2017年1月1日至2017年12月31日在中日友好医院659例行CT肺动脉造影(CTPA)检查的住院或门诊患者,对所有纳入对象采用简化Wells评分、修订版Geneva评分、YEARs评分进行临床可能性评估(二分类法);其次检测血浆D-二聚体浓度,根据年龄校正D-二聚体阳性阈值,评价3种评分工具以及联合D-二聚体检测对APE的诊断预测效能。结果 659例患者中514例因疑诊APE行CTPA检查。其中122例确诊为肺栓塞。YEARs评分、简化Wells评分和修订版Geneva评分对评估APE临床可能性,敏感度依次为51.64%(95%CI,42.4%~60.7%)、31.9%(95%CI,23.9%~41.1%)、44.26%(95%CI,35.3%~53.5%);阴性预测值依次为83.23%、79.81%和81.16%。基于YEARs评分调整D-二聚体阳性阈值,与常用评分联合标准D-二聚体阳性阈值相比,漏诊率低(11.6%),避免39.7%CTPA检查。结论基于YEARs评分调整D-二聚体阳性阈值,可较为安全地排除APE,将减少40%左右的CTPA检查量,值得在中国人群中扩大样本、多中心、前瞻性研究进一步验证并推广使用。 展开更多
关键词 急性肺栓塞 YEARs评分 诊断策略 预测效能
原文传递
2018版中国《肺血栓栓塞症诊治与预防指南》解读之一:指南概述 被引量:5
2
作者 张云霞 谢万木 翟振国 《中国实用内科杂志》 CAS CSCD 北大核心 2018年第10期923-925,共3页
肺血栓栓塞症(PTE)具有高发病率、高病死率和高致残率的特点,是严重威胁人类健康的重大医疗问题。2018版中国《肺血栓栓塞症诊治与预防指南》结合近5年发表的系列指南,系统评价了国内外近年来发表的PTE相关循证医学研究资料,增加了基于... 肺血栓栓塞症(PTE)具有高发病率、高病死率和高致残率的特点,是严重威胁人类健康的重大医疗问题。2018版中国《肺血栓栓塞症诊治与预防指南》结合近5年发表的系列指南,系统评价了国内外近年来发表的PTE相关循证医学研究资料,增加了基于中国人循证医学研究的数据,将有助于进一步规范中国PTE的诊断、治疗与预防。文章将对2018版中国《肺血栓栓塞症诊治与预防指南》的概述进行详尽解读。 展开更多
关键词 肺血栓栓塞症 指南 概述
原文传递
Prevalence of deep venous thrombosis in patients with acute exacerbation of chronic obstructive pulmonary disease 被引量:25
3
作者 DUAN Sheng-chen YANG Yuan-hua +6 位作者 LI Xu-yan LIANG Xiao-ning GUO Rui-jun xie wan-mu KUANG Tu-guang DAI Hua-ping WANG Chen 《Chinese Medical Journal》 SCIE CAS CSCD 2010年第12期1510-1514,共5页
Background Acute exacerbation of chronic obstructive pulmonary disease (COPD) is always associated with a high incidence and mortality. Because of the presence of some concomitant risk factors such as immobilization... Background Acute exacerbation of chronic obstructive pulmonary disease (COPD) is always associated with a high incidence and mortality. Because of the presence of some concomitant risk factors such as immobilization, bronchial superinfection, patients who are admitted for acute exacerbations of COPD are generally considered to be at moderate risk for the development of venous thromboembolism. In this study, we investigated the prevalence and the clinical manifestations of deep venous thrombosis (DVT) in patients with acute exacerbation of COPD.Methods From March 2007 to March 2009, 520 consecutive patients were included in this study. On admission, color Doppler ultrasound of lower extremities in all cases was performed for diagnosing DVT. Patients with DVT were compared with those without DVT from such aspects as demographics, symptoms, physical signs and risk factors.Results Among the 520 patients, DVT was found in 46 cases (9.7%). In patients with DVT, the duration of hospitalization was longer (P=0.01), and the mechanical ventilation requirement increased (P 〈0.001). Other indicators for patients with more possibility of DVT were immobility exceeding 3 days (P 〈0.001); pneumonia as concomitance (P=0.01); respiratory failure type Ⅱ (P=0.013); current smoking (P=0.001). Lower extremity pain was more common in DVT cases in comparison to those without DVT (34.8% vs. 15.2%, P=0.01 ).Conclusions The acute exacerbation of COPD patients, who were immobilized for over 3 days, complicated by pneumonia and had respiratory failure type Ⅱ, had a higher risk of DVT. In addition, DVT detection awareness should be increased in cases that had a lower extremity pain. 展开更多
关键词 Chronic obstructive pulmonary disease deep venous thrombosis ULTRASONOGRAPHY
原文传递
Clinical features and imaging findings in pulmonary capillary hemangiomatosis: report of two cases and a pooled analysis 被引量:1
4
作者 xie wan-mu DAI Hua-ping +4 位作者 JIN Mu-lan WANG Zhen YANG Yuan-hua ZHAI Zhen-guo WANG Chen 《Chinese Medical Journal》 SCIE CAS CSCD 2012年第17期3069-3073,共5页
Background Pulmonary capillary hemangiomatosis (PCH) is a rare disease and no Chinese case has been reported yet. The disease is often misdiagnosed and its clinical characteristics are incompletely described. The ai... Background Pulmonary capillary hemangiomatosis (PCH) is a rare disease and no Chinese case has been reported yet. The disease is often misdiagnosed and its clinical characteristics are incompletely described. The aim of this study was to describe two Chinese cases and to clarify the clinical and radiographic parameters of patients with PCH. Methods Two PCH cases were presented and other cases were searched from the English literature. All available clinical and radiographic data were collected from 62 literature reported PCH cases. A pooled analysis of total 64 cases was made. Results Dyspnea and hemoptysis were the most common clinical symptoms of PCH. Pulmonary hypertension (PH) was found in 78% of the reported cases. PCH typically showed characteristic diffuse or patchy ground-glass opacities (GGOs) and/or multiple ill-defined centrilobular nodules in the computed tomography. Conclusions The diagnosis of PCH requires a high clinical suspicion. However, both clinical presentations and radiographic studies often provide clues to the diagnosis, which may prompt early lung biopsy for a definite diagnosis. 展开更多
关键词 pulmonary capillary hemangiomatosis pulmonary hypertension lung biopsy
原文传递
上一页 1 下一页 到第
使用帮助 返回顶部