国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2014年
11期
1525-1528
,共4页
肺血栓栓塞症%深静脉血栓形成%危险因素%预后
肺血栓栓塞癥%深靜脈血栓形成%危險因素%預後
폐혈전전새증%심정맥혈전형성%위험인소%예후
Pulmonary thromboembolism%Deep venous thrombosis%Risk factors%Prognosis
目的 探讨急性肺血栓栓塞(acute pulmonary thromboembolism,APTE)患者发病的危险因素、临床表现、诊断程序、治疗措施和临床转归.方法 对我院153例APTE患者的临床资料进行回顾性分析.结果 ①在过去的10年间,APTE住院病人呈逐年增加的趋势;②年龄≥60岁、长期卧床(≥5天)或制动、原发性高血压和吸烟是APTE患者常见的危险因素;③呼吸困难和呼吸急促是APTE患者最常见的临床症状和体征,而包括气促、胸痛、咯血在内的“肺梗死三联征”仅占18.3％.结论 综合性分析APTE的危险因素、临床表现、诊断程序、治疗措施和临床转归,能够提高APTE的诊断率和治愈率.
目的 探討急性肺血栓栓塞(acute pulmonary thromboembolism,APTE)患者髮病的危險因素、臨床錶現、診斷程序、治療措施和臨床轉歸.方法 對我院153例APTE患者的臨床資料進行迴顧性分析.結果 ①在過去的10年間,APTE住院病人呈逐年增加的趨勢;②年齡≥60歲、長期臥床(≥5天)或製動、原髮性高血壓和吸煙是APTE患者常見的危險因素;③呼吸睏難和呼吸急促是APTE患者最常見的臨床癥狀和體徵,而包括氣促、胸痛、咯血在內的“肺梗死三聯徵”僅佔18.3％.結論 綜閤性分析APTE的危險因素、臨床錶現、診斷程序、治療措施和臨床轉歸,能夠提高APTE的診斷率和治愈率.
목적 탐토급성폐혈전전새(acute pulmonary thromboembolism,APTE)환자발병적위험인소、림상표현、진단정서、치료조시화림상전귀.방법 대아원153례APTE환자적림상자료진행회고성분석.결과 ①재과거적10년간,APTE주원병인정축년증가적추세;②년령≥60세、장기와상(≥5천)혹제동、원발성고혈압화흡연시APTE환자상견적위험인소;③호흡곤난화호흡급촉시APTE환자최상견적림상증상화체정,이포괄기촉、흉통、각혈재내적“폐경사삼련정”부점18.3％.결론 종합성분석APTE적위험인소、림상표현、진단정서、치료조시화림상전귀,능구제고APTE적진단솔화치유솔.
Objective To explore associated predisposing factors,characteristic features,diagnostic and therapeutic approaches,and prognosis of acute pulmonary thromboembolism (APTE).Method A retrospective study was carried out in 153 patients with APTE.Results ① The study revealed a steady increase in the number of hospitalized APTE during the past 10 years.② Age ≥ 60 years,prolonged bedridden state (≥ 5 days)or immobilization,primary hypertension and smoking were common associated predisposing factors for APTE patients.③ Dyspnea and tachypnea were the most common symptoms and signs of APTE patients,respectively.However,the classic triad as dyspnea,chest pain and hemoptysis only accounted for 18.3％ of patients with APTE.Conclusion Analyzing the associated predisposing factors,characteristic features,diagnostic and therapeutic approaches,and prognosis of APTE can contribute to improve the rate of diagnosis and cure.
