CAJ | 학술논문

目的：分析冠状动脉造影术后并发急性肺栓塞的临床特点和危险因素，提出预防和处理的措施。方法：针对我院发生的5例冠状动脉造影术后急性肺栓塞患者，了解肺栓塞的临床表现、实验室检查方法和治疗措施等。结果：冠状动脉造影术后并发的急性肺栓塞在临床上主要表现为呼吸困难、胸闷、心跳加快和低血压等，部分患者可并发下肢深静脉血栓形成。检查手段包括心电图、超声心动图、动脉血气、D-二聚体水平、肺动脉计算机断层扫描血管造影和肺动脉造影等。结论：冠状动脉造影术后并发的急性肺栓塞的病情危急，尽早诊断、尽早治疗可挽救患者生命，同时应加强预防措施。
목적：분석관상동맥조영술후병발급성폐전새적림상특점화위험인소，제출예방화처리적조시。방법：침대아원발생적5례관상동맥조영술후급성폐전새환자，료해폐전새적림상표현、실험실검사방법화치료조시등。결과：관상동맥조영술후병발적급성폐전새재림상상주요표현위호흡곤난、흉민、심도가쾌화저혈압등，부분환자가병발하지심정맥혈전형성。검사수단포괄심전도、초성심동도、동맥혈기、D-이취체수평、폐동맥계산궤단층소묘혈관조영화폐동맥조영등。결론：관상동맥조영술후병발적급성폐전새적병정위급，진조진단、진조치료가만구환자생명，동시응가강예방조시。
To analyze the clinical and risk factor of acute pulmonary embolism after coronary arteriography and to find out methods for its treatment and prevention. Methods: Five cases of acute pulmonary embolism after coronary arteriography were included in this study. We analyzed its clinical characteristics, laboratory examinations, treatment and effects. Results:The major clinical manifestations of acute pulmonary embolism after coronary arteriography appeared as breathing dififculty, chest tightness, rapid heartbeat and low blood pressure, and deep vein thrombosis may be complicated in some patients. The diagnosis was based on the results from examination by D-dimers level, ECG, ultrasound cardiograph, leg vein Doppler, pulmonary computed tomographic angiography and selective pulmonary angiography. Conclusion:Early diagnosis and early treatment should be performed to save the lives of patients since the acute pulmonary embolism after coronary arteriography is usually in critical condition, and meanwhile effective measures should be taken to prevent it from occurrence.