CAJ | 학술논문

目的：探讨自发性肺血栓栓塞症的临床特征，提高对该病的认识。方法回顾性分析南京军区福州总医院心血管内科2008年10月－2013年10月诊治的6例自发性肺血栓栓塞症患者的临床资料，总结该病早期诊断的特点。结果6例均无明显血栓形成的危险因素，通过CT肺动脉造影（ CTPA）确诊。给予尿激酶溶栓治疗，10 d后复查CTPA，肺动脉血栓消失。结论自发性肺血栓栓塞症病因隐匿，临床表现不典型，早期诊断需要认真分析和综合判断，以免误诊漏诊。
목적：탐토자발성폐혈전전새증적림상특정，제고대해병적인식。방법회고성분석남경군구복주총의원심혈관내과2008년10월－2013년10월진치적6례자발성폐혈전전새증환자적림상자료，총결해병조기진단적특점。결과6례균무명현혈전형성적위험인소，통과CT폐동맥조영（ CTPA）학진。급여뇨격매용전치료，10 d후복사CTPA，폐동맥혈전소실。결론자발성폐혈전전새증병인은닉，림상표현불전형，조기진단수요인진분석화종합판단，이면오진루진。
Objective To investigate the clinic characters of the autonomous pulmonary thromboembolism to strengthen the understanding of this disease .Methods The clinical data of 6 patients with autonomous pulmonary thromboembolism diagnosed and treated in the department of cardiovascular of Fuzhou general hospital from October 2008 to October 2013 were retrospectively analyzed , and the features in the early diagnosis of this disease were summarized .Results None of any risk factor of thrombogenesis was found in the 6 cases.All the patients were diagnosed through the computed tomo-graphic pulmonary angiography (CTPA).After a 10-day's thrombolytic therapy by urokinase ,all the thrombus in the pulmonary artery disappeared in the CTPA reexaminations .Conclusion The pathogenesis of autonomous pulmonary thromboembolism is undetectable and the clinical manifestation is atypical .To avoid misdiagnosis and missed diagnosis this disease ,careful analysis and comprehensive judgment is needed in the early diagnosis .