大家健康（中旬版）
大傢健康（中旬版）
대가건강（중순판）
GOOD HEALTH FOR ALL
2014年
7期
75-75
,共1页
慢性肺栓塞%临床特征%误诊%冠心病
慢性肺栓塞%臨床特徵%誤診%冠心病
만성폐전새%림상특정%오진%관심병
目的：探讨慢性肺栓塞患者的临床特征，分析其被误诊为冠心病的原因及防治措施和临床疗效。方法：选取来我院诊治的初诊为冠心病，后确诊为慢性肺栓塞的患者20例均给予药物综合疗法进行治疗。结果：20例患者经以确诊治疗后，临床主要症状得到显著改善，其血气分析值与治疗前相比有显著改善，治疗前后比较差异具有统计学意义（P＜0．05）。其超声心动、左室射血分数以及肺动脉压等指标与治疗前相比有显著改善，治疗前后比较差异具有统计学意义（P＜0．05）。结论：临床在进行慢性肺栓塞的治疗中需加强提高对慢性肺栓塞的诊断意识，需及时对患者进行血气分析和D-二聚体检测，才能降低误诊率，避免延误治疗。
目的：探討慢性肺栓塞患者的臨床特徵，分析其被誤診為冠心病的原因及防治措施和臨床療效。方法：選取來我院診治的初診為冠心病，後確診為慢性肺栓塞的患者20例均給予藥物綜閤療法進行治療。結果：20例患者經以確診治療後，臨床主要癥狀得到顯著改善，其血氣分析值與治療前相比有顯著改善，治療前後比較差異具有統計學意義（P＜0．05）。其超聲心動、左室射血分數以及肺動脈壓等指標與治療前相比有顯著改善，治療前後比較差異具有統計學意義（P＜0．05）。結論：臨床在進行慢性肺栓塞的治療中需加彊提高對慢性肺栓塞的診斷意識，需及時對患者進行血氣分析和D-二聚體檢測，纔能降低誤診率，避免延誤治療。
목적：탐토만성폐전새환자적림상특정，분석기피오진위관심병적원인급방치조시화림상료효。방법：선취래아원진치적초진위관심병，후학진위만성폐전새적환자20례균급여약물종합요법진행치료。결과：20례환자경이학진치료후，림상주요증상득도현저개선，기혈기분석치여치료전상비유현저개선，치료전후비교차이구유통계학의의（P＜0．05）。기초성심동、좌실사혈분수이급폐동맥압등지표여치료전상비유현저개선，치료전후비교차이구유통계학의의（P＜0．05）。결론：림상재진행만성폐전새적치료중수가강제고대만성폐전새적진단의식，수급시대환자진행혈기분석화D-이취체검측，재능강저오진솔，피면연오치료。
Objective:to study the clinical features of patients with chronic pulmonary embolism,analyze the misdiagnosed as the cause and the prevention measures and the clinical efficacy of coronary heart disease.Methods:choose to make a diagnosis and give treatment in our first visit to coronary heart disease, patients diagnosed with chronic pulmonary embolism after 20 cases were given comprehensive therapy drug for treatment.Results:20 patients after treatment with to diagnosis,clinical main symptoms were markedly improved,the value of blood gas analysis,can improve the compared with before treatment,before and after treatment comparison differences statistically significant (P<0.05 ).The ultrasonic echocardiography,left ventricular ejection fraction and pulmonary artery pressure index can improve the compared with before treatment,before and after treatment compared statistically significant difference (P<0.05 ).Conclu-sions:clinical in the treatment of chronic pulmonary embolism should be strengthen to improve chronic pulmonary embolism diagnosis consciousness,blood gas analysis should be carried out in time for the patient and D -dimer testing,to reduce the misdiagnosis rate,to avoid delay in treatment.
