中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2014年
1期
60-63
,共4页
刘曼华%尹琼%万书平%魏辉%杨广龙%高启军%肖琴容%孔海英
劉曼華%尹瓊%萬書平%魏輝%楊廣龍%高啟軍%肖琴容%孔海英
류만화%윤경%만서평%위휘%양엄룡%고계군%초금용%공해영
急性肺栓塞%危险因素%临床特征%误诊%修正的Geneva评分
急性肺栓塞%危險因素%臨床特徵%誤診%脩正的Geneva評分
급성폐전새%위험인소%림상특정%오진%수정적Geneva평분
Acute pulmonary embolism%Risk factors%Clinical characteristics%Misdiagnosis%Revised Geneva score
目的 分析急性肺栓塞(APE)的危险因素、临床特点、误诊情况及治疗方法,以提高确诊率,改善预后.方法 选择2009年1月至2012年12月间天门市第一人民医院确诊的急性肺栓塞患者47例,对其危险因素、临床表现、实验室检查、误诊原因及治疗情况进行统计学分析,并根据发病年限分为两组,比较两组的确诊时间及预后.结果 APE患者大多有危险因素,占66.0％,临床表现多样化,化验检查结果及心电图缺乏特异性,极易导致误诊,首诊误诊情况依次为心力衰竭10例(21.3％),肺部感染8例(17.0％),急性冠状动脉综合征7例(14.9％),脑梗死2例(4.3％),漏诊1例(2.1％),使用修正的Geneva评分对患者进行评估,早期确诊率得到明显提高.结论 APE可并发于多种疾病,临床表现多样,极易误诊漏诊,使用修正的Geneva评分对患者进行筛选,可提高早期确诊率.
目的 分析急性肺栓塞(APE)的危險因素、臨床特點、誤診情況及治療方法,以提高確診率,改善預後.方法 選擇2009年1月至2012年12月間天門市第一人民醫院確診的急性肺栓塞患者47例,對其危險因素、臨床錶現、實驗室檢查、誤診原因及治療情況進行統計學分析,併根據髮病年限分為兩組,比較兩組的確診時間及預後.結果 APE患者大多有危險因素,佔66.0％,臨床錶現多樣化,化驗檢查結果及心電圖缺乏特異性,極易導緻誤診,首診誤診情況依次為心力衰竭10例(21.3％),肺部感染8例(17.0％),急性冠狀動脈綜閤徵7例(14.9％),腦梗死2例(4.3％),漏診1例(2.1％),使用脩正的Geneva評分對患者進行評估,早期確診率得到明顯提高.結論 APE可併髮于多種疾病,臨床錶現多樣,極易誤診漏診,使用脩正的Geneva評分對患者進行篩選,可提高早期確診率.
목적 분석급성폐전새(APE)적위험인소、림상특점、오진정황급치료방법,이제고학진솔,개선예후.방법 선택2009년1월지2012년12월간천문시제일인민의원학진적급성폐전새환자47례,대기위험인소、림상표현、실험실검사、오진원인급치료정황진행통계학분석,병근거발병년한분위량조,비교량조적학진시간급예후.결과 APE환자대다유위험인소,점66.0％,림상표현다양화,화험검사결과급심전도결핍특이성,겁역도치오진,수진오진정황의차위심력쇠갈10례(21.3％),폐부감염8례(17.0％),급성관상동맥종합정7례(14.9％),뇌경사2례(4.3％),루진1례(2.1％),사용수정적Geneva평분대환자진행평고,조기학진솔득도명현제고.결론 APE가병발우다충질병,림상표현다양,겁역오진루진,사용수정적Geneva평분대환자진행사선,가제고조기학진솔.
Objective To analyze the risk factors,clinical features,misdiagnosis and the treatment methods of acute pulmonary embolism (APE),in order to improve the diagnosis rate and the prognosis.Methods A total of 47 APE patients diagnosed from January 2009 to December 2012 were studied.The risk factors,clinical manifestation,laboratory examination,the misdiagnosis reasons and treatment were analyzed,and the patients were divided into two groups according to the onset time,the time of diagnosis and the prognosis of the two groups was compared.Results APE can be easily misdiagnosised for the diversified clinical manifestations; the lack of specific test results and ECG,misdiagnosed cases of heart failure in 10 cases (21.3％),pulmonary infection in 8 cases (17.0％),the ACS in 7 cases (14.9％),cerebral infarction in 2 cases (4.3％),missed diagnosis in 1 case (2.1％),the revised Geneva score was used to evaluate patients,the early diagnosis rate was improved obviously.Conclusions APE can be complicated with many diseases,and the clinical manifestation is diversified,so it can be easily misdiagnosed,filtering potential patients by revised Geneva score can improve the early diagnosis rate.
