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[目的]探索急性肺栓塞的规范化临床诊断程序及治疗措施。[方法]对58例急性肺栓塞患者临床诊断资料、辅助检查、治疗措施进行分析。[结果]原有心肺疾患、外科手术等是肺栓塞的易患因素,临床表现为不明原因的呼吸困难、呼吸频速、胸痛、咯血等主要症状。溶栓组治疗有效率为75%,抗凝组有效率为25%。[结论]临床医生要切实提高急性肺栓塞的诊断水平、改进治疗方法,使急性肺栓塞患者将得到及时诊断、正确治疗。
[Objective] To explore the standardized clinical diagnosis procedure and treatment of acute pulmonary embolism. [Methods] The clinical diagnostic data, auxiliary examination and treatment measures of 58 patients with acute pulmonary embolism were analyzed. [Results] The original cardiopulmonary diseases and surgical procedures were the predisposing factors of pulmonary embolism. The clinical manifestations were unexplained dyspnea, respiratory rate, chest pain and hemoptysis. The effective rate of thrombolysis group was 75% and that of anticoagulant group was 25%. [Conclusion] Clinicians should effectively improve the diagnosis of acute pulmonary embolism and improve the treatment so that patients with acute pulmonary embolism will get timely diagnosis and correct treatment.