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目的提高对肺栓塞的认识,探讨该病的早期诊断、治疗和预防。方法回顾性分析我院收治的12例肺栓塞患者的病因、临床表现以及诊治过程。结果本组肺栓塞12例以中老年多见,症状不典型,下肢深静脉血栓、慢性心肺疾病是主要病因。血气分析、心电图、超声心动图、D-二聚体有助于肺栓塞的筛查,对其明确诊断首选放射性核素肺灌注显像。溶栓、抗凝是肺栓塞治疗的重要方法。结论早期确诊、及时治疗,可改善患者预后,降低病死率。
Objective To improve the understanding of pulmonary embolism and explore the early diagnosis, treatment and prevention of the disease. Methods Retrospective analysis of 12 patients admitted to our hospital etiology, clinical manifestations and diagnosis and treatment process. Results The group of 12 cases of pulmonary embolism more common in middle-aged and elderly, atypical symptoms, deep vein thrombosis, chronic heart disease is the main cause. Blood gas analysis, electrocardiogram, echocardiography, D-dimer contribute to the screening of pulmonary embolism, its definitive diagnosis of the preferred radionuclide lung perfusion imaging. Thrombolysis, anticoagulation is an important method of pulmonary embolism. Conclusion Early diagnosis and timely treatment can improve prognosis and reduce mortality.