中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
1期
102-103
,共2页
肺栓塞%肺增强螺旋CT%溶栓治疗
肺栓塞%肺增彊螺鏇CT%溶栓治療
폐전새%폐증강라선CT%용전치료
Pulmonary embolism%Lung enhanced helical CT%Thrombolytic therapy
目的：探讨急性肺栓塞的临床表现、诊断及治疗方法。方法：回顾性分析笔者所在医院收治的56例急性肺栓塞患者的临床资料，包括临床表现、辅助检查、治疗方法以及临床疗效。结果：56例患者中，呼吸困难55例(98.2%)，晕厥22例(39.3%)，胸痛11例(19.6%)，咳嗽9例(16.1%)，抽搐6例(10.7%)，咯血4例(7.1%)，呼吸困难、胸痛、咯血三联征3例(5.4%)。动脉血气分析、心电图、胸部X线、超声心动图均有助于诊断，而肺增强螺旋CT诊断准确率最高。给予患者解热镇痛、吸氧、监测的一般治疗，并给予抗凝联合溶栓治疗。5例患者死亡，存活率91.0%。结论：急性肺栓塞临床症状并不典型，容易误诊、漏诊，临床应足够重视，肺增强螺旋CT为重要的辅助检查，而早期抗凝联合溶栓治疗能够达到良好的临床疗效。
目的：探討急性肺栓塞的臨床錶現、診斷及治療方法。方法：迴顧性分析筆者所在醫院收治的56例急性肺栓塞患者的臨床資料，包括臨床錶現、輔助檢查、治療方法以及臨床療效。結果：56例患者中，呼吸睏難55例(98.2%)，暈厥22例(39.3%)，胸痛11例(19.6%)，咳嗽9例(16.1%)，抽搐6例(10.7%)，咯血4例(7.1%)，呼吸睏難、胸痛、咯血三聯徵3例(5.4%)。動脈血氣分析、心電圖、胸部X線、超聲心動圖均有助于診斷，而肺增彊螺鏇CT診斷準確率最高。給予患者解熱鎮痛、吸氧、鑑測的一般治療，併給予抗凝聯閤溶栓治療。5例患者死亡，存活率91.0%。結論：急性肺栓塞臨床癥狀併不典型，容易誤診、漏診，臨床應足夠重視，肺增彊螺鏇CT為重要的輔助檢查，而早期抗凝聯閤溶栓治療能夠達到良好的臨床療效。
목적：탐토급성폐전새적림상표현、진단급치료방법。방법：회고성분석필자소재의원수치적56례급성폐전새환자적림상자료，포괄림상표현、보조검사、치료방법이급림상료효。결과：56례환자중，호흡곤난55례(98.2%)，훈궐22례(39.3%)，흉통11례(19.6%)，해수9례(16.1%)，추휵6례(10.7%)，각혈4례(7.1%)，호흡곤난、흉통、각혈삼련정3례(5.4%)。동맥혈기분석、심전도、흉부X선、초성심동도균유조우진단，이폐증강라선CT진단준학솔최고。급여환자해열진통、흡양、감측적일반치료，병급여항응연합용전치료。5례환자사망，존활솔91.0%。결론：급성폐전새림상증상병불전형，용역오진、루진，림상응족구중시，폐증강라선CT위중요적보조검사，이조기항응연합용전치료능구체도량호적림상료효。
Objective:To investigate the clinical manifestations,diagnosis and treatment of acute pulmonary embolism.Method:The clinical data of 56 cases with acute pulmonary embolism were retrospectively analyzed,including clinical manifestations,laboratory tests,treatment methods,and clinical efficacy.Result:There were 55 cases(98.2%) of dyspnea,22 cases(39.3%) of syncope,11 cases(19.6%) of chest pain,9 cases(16.1%) of cough,6 cases(10.7%) of convulsions,4 cases(7.1%) of hemoptysis,3 cases(5.4%) of dyspnea,chest pain,hemoptysis triad.Arterial blood gas analysis,electrocardiogram,chest X-ray,echocardiography were helpful in the diagnosis,and enhanced spiral CT pulmonary had highest accuracy rate.Thermal analgesia,oxygen,monitoring of the general treatment were given to patients as well as anticoagulation combined with thrombolytic therapy.Five patients died,and the survival rate was 91.0%. Conclusion:The clinical symptoms of acute pulmonary embolism are not typical,easy to misdiagnose,and clinical attention should be sufficient.Lung enhanced helical CT can be used as an important auxiliary examination,and early anticoagulation combined thrombolytic therapy can achieve good clinical efficacy.
