中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2012年
22期
33-35
,共3页
肺栓塞%低氧血症%诊断
肺栓塞%低氧血癥%診斷
폐전새%저양혈증%진단
Pulmonary embolism%Anoxemia%Diagnosis
目的 通过对肺栓塞临床特点的分析与总结,寻找肺栓塞的首诊思路.方法 对23例肺栓塞患者的高危因素、临床表现及常见辅助检查结果进行分析.结果 91.30％(21/23)肺栓塞患者有高危因素.常见症状为呼吸困难(91.30％,21/23)和胸闷(69.57％,16/23),肺栓塞三联征仅见13.04％(3/23),其他表现包括心悸、胸痛、咯血、晕厥等.血气分析见低氧血症、低碳酸血症.D-二聚体阳性率为91.30％(21/23).91.30％(21/23)心电图和86.96％(20/23)超声心动图异常.结论 合适的首诊思路有助于及早诊断可疑肺栓塞患者,同时可以排除其他常见心肺疾病.
目的 通過對肺栓塞臨床特點的分析與總結,尋找肺栓塞的首診思路.方法 對23例肺栓塞患者的高危因素、臨床錶現及常見輔助檢查結果進行分析.結果 91.30％(21/23)肺栓塞患者有高危因素.常見癥狀為呼吸睏難(91.30％,21/23)和胸悶(69.57％,16/23),肺栓塞三聯徵僅見13.04％(3/23),其他錶現包括心悸、胸痛、咯血、暈厥等.血氣分析見低氧血癥、低碳痠血癥.D-二聚體暘性率為91.30％(21/23).91.30％(21/23)心電圖和86.96％(20/23)超聲心動圖異常.結論 閤適的首診思路有助于及早診斷可疑肺栓塞患者,同時可以排除其他常見心肺疾病.
목적 통과대폐전새림상특점적분석여총결,심조폐전새적수진사로.방법 대23례폐전새환자적고위인소、림상표현급상견보조검사결과진행분석.결과 91.30％(21/23)폐전새환자유고위인소.상견증상위호흡곤난(91.30％,21/23)화흉민(69.57％,16/23),폐전새삼련정부견13.04％(3/23),기타표현포괄심계、흉통、각혈、훈궐등.혈기분석견저양혈증、저탄산혈증.D-이취체양성솔위91.30％(21/23).91.30％(21/23)심전도화86.96％(20/23)초성심동도이상.결론 합괄적수진사로유조우급조진단가의폐전새환자,동시가이배제기타상견심폐질병.
Objective To seek the approach to the initial diagnosis of pulmonary embolism through analysis and conclusion of the clinical features of pulmonary embolism.Methods The high risk factors,clinical manifestation and results of common auxiliary examinations of 23 patients with pulmonary embolism were analyzed retrospectively.Results There were 91.30％(21/23)patients with high risk factors.The common symptoms were dyspnea (91.30％,21/23) and chest tightness (69.57％,16/23 ),while the triad of pulmonary embolism merely accounted for 13.04％ (3/23).And other symptoms included palpitation,chest pain,hemoptysis and syncope,etc.Blood gas analysis indicated that there were hypoxemia and hypocarbia.The positive rate of D-dimer was 91.30％ (21/23).The abnormal rate of electrocardiogram was 91.30％( 21/23 ) and the abnormal rate of echocardiography was 86.96％(20/23).Conclusion Appropriate approach to the initial prognosis can help to establish the diagnosis of patients with suspected pulmonary embolism as early as possible,as well as differentiate other cardiopulmonary diseases.
