CAJ | 학술논문

目的:通过分析肺血栓栓塞症(PTE)的基础疾病、临床特征、辅助检查和治疗,进一步加强对本病的认识.方法:回顾性分析48例PTE患者的临床资料.结果:48例中全部存在高危因素,深静脉血栓形成占68.75%.临床表现以呼吸困难、胸痛、烦躁不安、咳嗽为主.D-二聚体、血气分析、心电图、超声心动检查结果有初筛价值,CT肺动脉造影检查明确诊断.10例行溶栓加抗凝治疗者,治疗有效率100%;38例行抗凝治疗,总有效率为93.75%.结论:PTE与基础疾病密切相关,临床表现缺乏特异性,采用多种诊断手段与临床表现相结合可提高诊断率,血浆D-二聚体, CT肺动脉造影可以很好辅助PTE诊断,早期诊断及时溶栓和抗凝治疗可提高治愈率.
목적:통과분석폐혈전전새증(PTE)적기출질병、림상특정、보조검사화치료,진일보가강대본병적인식.방법:회고성분석48례PTE환자적림상자료.결과:48례중전부존재고위인소,심정맥혈전형성점68.75%.림상표현이호흡곤난、흉통、번조불안、해수위주.D-이취체、혈기분석、심전도、초성심동검사결과유초사개치,CT폐동맥조영검사명학진단.10례행용전가항응치료자,치료유효솔100%;38례행항응치료,총유효솔위93.75%.결론:PTE여기출질병밀절상관,림상표현결핍특이성,채용다충진단수단여림상표현상결합가제고진단솔,혈장D-이취체, CT폐동맥조영가이흔호보조PTE진단,조기진단급시용전화항응치료가제고치유솔.
Objective:By analyzing the underlying disease,clinical characteristics,laboratory examinations and treatment of pulmonary thromboembolism (PTE),to further strengthen the understanding of the disease.Methods:A retrospective analysis of the clinical data of 48 cases of PTE patients. Results:All of the 48 cases there are high risk factors,including deep vein thrombosis accounted for 68.75%.The clinical manifestations of breathlessness,chest pain,irritability, cough mainly.There are primary screening value on D-dimer,blood gas analysis,electrocardiogram,echocardiogram results,can be diagnosed definitely by CT and pulmonary angiography.10 patients underwent thrombolysis plus anticoagulation therapy,the treatment efficiency of 100%;38 patients anticoagulant treatment,the total effective rate of 93.75%.Conclusion:Closely related to the PTE with underlying diseases,clinical manifestations were lack of specificity, Using the combination of a variety of diagnostic methods and clinical manifestations can improve the diagnostic rate,D-dimer,CT pulmonary angiography can be a good auxiliary diagnosis PTE.Early diagnosis and timely thrombolysis and anticoagulation therapy to improve the cure rate.