重症肺栓塞是临床中比较凶险的疾病,病因复杂多样,其中以肺血栓栓塞最为常见,其栓子大多来源与下肢静脉,以肺循环和呼吸功能障碍为主的临床表现,死亡率很高,是许多地区和国家心血管死亡的第三大原因,漏诊率和误诊率均高,且预后较差。本...重症肺栓塞是临床中比较凶险的疾病,病因复杂多样,其中以肺血栓栓塞最为常见,其栓子大多来源与下肢静脉,以肺循环和呼吸功能障碍为主的临床表现,死亡率很高,是许多地区和国家心血管死亡的第三大原因,漏诊率和误诊率均高,且预后较差。本文结合1例肺栓塞病例资料,分析了联合“心–肺–血管”超声对急性肺栓塞的早期诊断的重要性,提高该类疾病的早期识别及鉴别,对挽救患者生命及改善预后至关重要。Severe pulmonary embolism is a relatively dangerous disease in clinical practice, with complex and diverse causes. Among them, pulmonary thromboembolism is the most common, and its emboli mostly originate from lower limb veins. Clinical manifestations mainly include pulmonary circulation and respiratory dysfunction, with a high mortality rate. It is the third leading cause of cardiovascular death in many regions and countries, with high rates of missed diagnosis and misdiagnosis, and a poor prognosis. This article combines data from a case of pulmonary embolism to analyze the importance of combining “Cardio-Pulmonary-Vascular” ultrasound in the early diagnosis of acute pulmonary embolism. Improving the early identification and differentiation of this type of disease is crucial for saving patient lives and improving prognosis.展开更多
目的:探讨心肺联合超声对心力衰竭伴肺动脉高压患者肺部彗星尾征的应用。方法:选取2021年6月—2022年6月邢台市第九医院心内科收治的50例心力衰竭患者,根据患者肺动脉压力情况进行分为压力正常组(n=22)、轻度高压组(n=17)、中重度高压组...目的:探讨心肺联合超声对心力衰竭伴肺动脉高压患者肺部彗星尾征的应用。方法:选取2021年6月—2022年6月邢台市第九医院心内科收治的50例心力衰竭患者,根据患者肺动脉压力情况进行分为压力正常组(n=22)、轻度高压组(n=17)、中重度高压组(n=11),所有患者均实行心肺联合超声检查。分析三组脑钠肽(BNP)水平、B线数量、左心室舒张末期内径(left ventricular end diastolic dimension,LVEDD)、右心室舒张期末期内径(right ventricular end diastolic diameter,RVEDD)、左室射血分数(leftventricularejectionfraction,LVEF)。结果:正常组的BNP水平、B线数量、LVEDD、RVID、LVEF指标与轻度高压组比较差异均有统计学意义(P<0.05);正常组与中重度高压组的BNP水平、B线数量、LVEDD、RVID、LVEF指标比对差异显著(P<0.01),并且轻度高压组与中重度高压组的BNP水平、B线数量、LVEDD、RVID、LVEF指标差异也有统计学意义(P<0.05)。三组患者入院时的BNP水平、B线数量、超声心动图指标水平相比出院时的指标水平有明显差异(P<0.05)。结论:心力衰竭患者在肺动脉压力程度不同的情况下,其B线数量明显差异,B线数量可以随着患者的肺动脉高压严重程度而增加,可为患者的病情诊断及治疗提供有效依据。展开更多
文摘重症肺栓塞是临床中比较凶险的疾病,病因复杂多样,其中以肺血栓栓塞最为常见,其栓子大多来源与下肢静脉,以肺循环和呼吸功能障碍为主的临床表现,死亡率很高,是许多地区和国家心血管死亡的第三大原因,漏诊率和误诊率均高,且预后较差。本文结合1例肺栓塞病例资料,分析了联合“心–肺–血管”超声对急性肺栓塞的早期诊断的重要性,提高该类疾病的早期识别及鉴别,对挽救患者生命及改善预后至关重要。Severe pulmonary embolism is a relatively dangerous disease in clinical practice, with complex and diverse causes. Among them, pulmonary thromboembolism is the most common, and its emboli mostly originate from lower limb veins. Clinical manifestations mainly include pulmonary circulation and respiratory dysfunction, with a high mortality rate. It is the third leading cause of cardiovascular death in many regions and countries, with high rates of missed diagnosis and misdiagnosis, and a poor prognosis. This article combines data from a case of pulmonary embolism to analyze the importance of combining “Cardio-Pulmonary-Vascular” ultrasound in the early diagnosis of acute pulmonary embolism. Improving the early identification and differentiation of this type of disease is crucial for saving patient lives and improving prognosis.
文摘目的:探讨心肺联合超声对心力衰竭伴肺动脉高压患者肺部彗星尾征的应用。方法:选取2021年6月—2022年6月邢台市第九医院心内科收治的50例心力衰竭患者,根据患者肺动脉压力情况进行分为压力正常组(n=22)、轻度高压组(n=17)、中重度高压组(n=11),所有患者均实行心肺联合超声检查。分析三组脑钠肽(BNP)水平、B线数量、左心室舒张末期内径(left ventricular end diastolic dimension,LVEDD)、右心室舒张期末期内径(right ventricular end diastolic diameter,RVEDD)、左室射血分数(leftventricularejectionfraction,LVEF)。结果:正常组的BNP水平、B线数量、LVEDD、RVID、LVEF指标与轻度高压组比较差异均有统计学意义(P<0.05);正常组与中重度高压组的BNP水平、B线数量、LVEDD、RVID、LVEF指标比对差异显著(P<0.01),并且轻度高压组与中重度高压组的BNP水平、B线数量、LVEDD、RVID、LVEF指标差异也有统计学意义(P<0.05)。三组患者入院时的BNP水平、B线数量、超声心动图指标水平相比出院时的指标水平有明显差异(P<0.05)。结论:心力衰竭患者在肺动脉压力程度不同的情况下,其B线数量明显差异,B线数量可以随着患者的肺动脉高压严重程度而增加,可为患者的病情诊断及治疗提供有效依据。
