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目的探讨急性肺血栓栓塞症的诊断特点。方法回顾性分析2007-06-2009-10期间周口市中心医院收治肺动脉血栓栓塞症(PTE)患者32例,对患者的危险因素、临床表现、辅助检查进行分析评价。结果发现多数患者存在下肢深静脉血栓(48%)形成,其他危险因素有下肢创伤、手术、心力衰竭、肿瘤、妊娠、糖尿病等。临床表现缺乏特异性,呼吸困难或气促29例(90%),发生率高。CT肺动脉造影(CTPA)阳性率达100%。结论肺血栓栓塞症临床表现不特异,应注重危险因素,CT肺动脉造影(CTPA)技术成熟,为较好确诊手段。
Objective To investigate the diagnostic characteristics of acute pulmonary thromboembolism. Methods Retrospective analysis of 32 patients with pulmonary thromboembolism (PTE) treated in Zhoukou Central Hospital during 2007-06-2009-10 analyzed and evaluated the risk factors, clinical manifestations and auxiliary examinations. The results showed that the majority of patients with lower extremity deep vein thrombosis (48%) formation, other risk factors are lower extremity trauma, surgery, heart failure, cancer, pregnancy, diabetes and so on. Lack of specificity of clinical manifestations, dyspnea or shortness of breath in 29 cases (90%), the high incidence. CT pulmonary angiography (CTPA) positive rate of 100%. Conclusion The clinical manifestations of pulmonary thromboembolism are not specific, and should pay attention to risk factors, CT pulmonary angiography (CTPA) technology is mature, as a better diagnostic means.