临床肺科杂志
臨床肺科雜誌
림상폐과잡지
Journal of Clinical Pulmonary Medicine
2015年
12期
2256-2258
,共3页
肺动脉栓塞指数%急性肺梗死%临床表现%左心功能参数%血气分析
肺動脈栓塞指數%急性肺梗死%臨床錶現%左心功能參數%血氣分析
폐동맥전새지수%급성폐경사%림상표현%좌심공능삼수%혈기분석
pulmonary embolism index%acute pulmonary infarction%clinical manifestation%left ventricular function parameters%blood gas analysis
目的：探析急性肺梗死患者的相关临床表现。方法选取不同肺动脉栓塞指数急性肺梗死患者64例作为研究对象,按肺动脉栓塞指数(PAOI)的不同分为PAOI<35%组(n=23)、35%≤PAOI≤55%组(n=18)以及PAOI>55%组(n=23)三组。比较三组患者的主要临床症状、右心功能参数以及血气分析结果等。结果左、右室短轴最大径以及两者比值在三组间均存在显著差异( P<0．05)。 PAOI<35%组的右心功能参数与35%≤PAOI≤55%组的差异显著(P<0．05),LVd与RVd/LVd与PAOI>55%组相比差异显著(P<0．05)；而35%≤PAOI≤55%组只有LVd参数显著高于PAOI>55%组(P<0．05)。血氧分压与二氧化碳分压随着PAOI指数升高而下,降且结果差异显著( P<0．05)。结论不同肺动脉栓塞指数对急性肺梗死患者的大体临床表现不同,因此临床上可以根据PAOI指数判断急性肺梗死的病情严重程度。
目的：探析急性肺梗死患者的相關臨床錶現。方法選取不同肺動脈栓塞指數急性肺梗死患者64例作為研究對象,按肺動脈栓塞指數(PAOI)的不同分為PAOI<35%組(n=23)、35%≤PAOI≤55%組(n=18)以及PAOI>55%組(n=23)三組。比較三組患者的主要臨床癥狀、右心功能參數以及血氣分析結果等。結果左、右室短軸最大徑以及兩者比值在三組間均存在顯著差異( P<0．05)。 PAOI<35%組的右心功能參數與35%≤PAOI≤55%組的差異顯著(P<0．05),LVd與RVd/LVd與PAOI>55%組相比差異顯著(P<0．05)；而35%≤PAOI≤55%組隻有LVd參數顯著高于PAOI>55%組(P<0．05)。血氧分壓與二氧化碳分壓隨著PAOI指數升高而下,降且結果差異顯著( P<0．05)。結論不同肺動脈栓塞指數對急性肺梗死患者的大體臨床錶現不同,因此臨床上可以根據PAOI指數判斷急性肺梗死的病情嚴重程度。
목적：탐석급성폐경사환자적상관림상표현。방법선취불동폐동맥전새지수급성폐경사환자64례작위연구대상,안폐동맥전새지수(PAOI)적불동분위PAOI<35%조(n=23)、35%≤PAOI≤55%조(n=18)이급PAOI>55%조(n=23)삼조。비교삼조환자적주요림상증상、우심공능삼수이급혈기분석결과등。결과좌、우실단축최대경이급량자비치재삼조간균존재현저차이( P<0．05)。 PAOI<35%조적우심공능삼수여35%≤PAOI≤55%조적차이현저(P<0．05),LVd여RVd/LVd여PAOI>55%조상비차이현저(P<0．05)；이35%≤PAOI≤55%조지유LVd삼수현저고우PAOI>55%조(P<0．05)。혈양분압여이양화탄분압수착PAOI지수승고이하,강차결과차이현저( P<0．05)。결론불동폐동맥전새지수대급성폐경사환자적대체림상표현불동,인차림상상가이근거PAOI지수판단급성폐경사적병정엄중정도。
Objective To analyze the clinical manifestations of patients with acute pulmonary infarction, in order to provide important indexes for future clinical symptomatic treatment. Methods The clinical data of patients with acute pulmonary infarction and with different pulmonary embolism index at our hospital from July 30, 2010 to Ju-ly 30, 2014 was retrospectively analyzed. They were divided into three groups according to its index of pulmonary em-bolism (PAOI), the group A (PAOI <35%) (n = 23), the group B (35%≤PAOI≤55%) (n=18) and the group C (PAOI>55%) (n=23). Their main clinical symptom incidence, right ventricular function parameters and blood gas analysis results were compared among the three groups. Results There was significant difference in right heart function parameters between the groups A and B (P<0. 05). The value of LVd and RVd/LVd was significantly higher in the group A than in the group C (P<0. 05). Blood gas analysis showed the partial pressure of oxygen and carbon dioxide partial pressure was decreased with the increase of PAOI indexes (P<0. 05). Conclusion The clin-ical manifestations of different general index of pulmonary embolism in patients with acute pulmonary infarction is dif-ferent. Therefore, the clinical manifestations can judge the severity of acute pulmonary infarction according to the PAOI index.
