CAJ | 학술논문

目的:探讨慢性阻塞性肺疾病急性加重(AECOPD)合并肺栓塞(PT)隐患因素,临床特点及误诊原因.方法:回顾性分析2007-01~2012-06收治AECOPD合并PE13例患者的临床资料.结果:AECOPD合并肺栓塞主要特点有呼吸困难,咳嗽,心悸,晕厥,下肢疼痛.结论:诊断方法用螺旋CT进行肺动脉造影(CTPA),肺通气灌注扫描,别诊断能力,减少误诊.
목적:탐토만성조새성폐질병급성가중(AECOPD)합병폐전새(PT)은환인소,림상특점급오진원인.방법:회고성분석2007-01~2012-06수치AECOPD합병PE13례환자적림상자료.결과:AECOPD합병폐전새주요특점유호흡곤난,해수,심계,훈궐,하지동통.결론:진단방법용라선CT진행폐동맥조영(CTPA),폐통기관주소묘,별진단능력,감소오진.
Objective:To explore the risk factors, clinical characteristic and misdiagnosis reason of actue exacerbationd chronic ob -strutive pulmonary (AECOPD) with pulmonary(PE).Methods:Retrospective analysed clinical data of APCOPD with PE , from Janu-ary 2007 to June 2012, altogether 13cases.Results:The main features of AECOPD with PTE are dyspnea , cough, cardiopalmus, syn-cope, ache of lower limb.There are a great many methods to diagnose APECOPD with PTE:spiral CT to get CTPA, ventilation perfu-sion lung scan, color Doppler, D-dimer and blood gas analysis .Conclusions:APECOPD with PTE is very rare, we should improve clinical differential diagnosis ability to reduce the occurrence of misdiagnosis .