CAJ | 학술논문

目的：观察并分析急性脑卒中患者继发肺血栓栓塞的临床特点。方法入选我院2011年6月～2014年6月急性脑卒中患者356例，其中合并PTE的患者25例，占所有患者的7.02％。卒中后并发肺血栓栓塞的时间为5～98天，平均（18.28±2.67）天。25例患者中，脑血栓6例，脑栓塞8例，脑出血6例，蛛网膜下腔出血5例。伴有高血压20例，高脂血症15例，糖尿病9例，房颤5例，下肢深静脉血栓22例。所有患者确诊后给予溶栓抗凝治疗。结果25例患者中死亡5例（20％），其中急性PTE溶栓22例，死亡3例，治疗有效率86.36％；急性PTE猝死2例；急性心源性休克4例，急性肺心病8例，肺梗死5例。结论脑卒中继发肺血栓栓塞临床死亡率高，患者多伴深静脉血栓，应尽早预防用药，降低血栓风险。
목적：관찰병분석급성뇌졸중환자계발폐혈전전새적림상특점。방법입선아원2011년6월～2014년6월급성뇌졸중환자356례，기중합병PTE적환자25례，점소유환자적7.02％。졸중후병발폐혈전전새적시간위5～98천，평균（18.28±2.67）천。25례환자중，뇌혈전6례，뇌전새8례，뇌출혈6례，주망막하강출혈5례。반유고혈압20례，고지혈증15례，당뇨병9례，방전5례，하지심정맥혈전22례。소유환자학진후급여용전항응치료。결과25례환자중사망5례（20％），기중급성PTE용전22례，사망3례，치료유효솔86.36％；급성PTE졸사2례；급성심원성휴극4례，급성폐심병8례，폐경사5례。결론뇌졸중계발폐혈전전새림상사망솔고，환자다반심정맥혈전，응진조예방용약，강저혈전풍험。
Objective Observe and analyse the clinical characteristics of acute stroke patients with secondary pulmonary thromboembolism. Methods Selected 356 cases of acute stroke patients from June 2011 to June 2014,including patients with PTE in 25 cases,accounting for 7.02%of al patients. After the stroke,pulmonary embolism for 5 to 98 days,with an average(18.28±2.67)days. During 25 patients,6 cases of cerebral thrombosis,cerebral embolism eight cases,6 cases of cerebral hemorrhage,subarachnoid hemorrhage in 5 cases. 20 cases with hypertension,hyperlipidemia in 15 cases,9 cases of diabetes,atrial fibril ation 5 cases, 22 cases of deep vein thrombosis. Al patients were given thrombolytic therapy after diagnosis. Results 25 patients died in 5 cases(20%),thrombolysis in 22 cases of acute PTE,3 died,treatment ef iciency of 86.36%,2 cases of acute PTE sudden died,4 cases of acute cardiogenic shock,acute pulmonary heart disease in 8 cases,5 cases of pulmonary infarction. Conclusion Stroke secondary to pulmonary thromboembolism has higher clinical mortality,many patients with deep vein thrombosis,patients should use prophylaxis as soon as possible,to reduce the risk of thrombosis.