30例肺栓塞临床诊断分析.doc

30例肺栓塞临床诊断分析.doc作者单位：212300江苏省丹阳市人民医院
通讯作者：张腊娣
【摘要】目的通过分析肺血栓栓塞(PTE)患者资料，探讨肺栓塞的临床特点、诊断方 法。方法对笔者所在医院2009-2010年收治的急性肺栓塞患者30例进行临床分析。结果PTE 患者常伴有深静脉血栓形成、创伤和(或)骨折、心血管疾病等危险因素;动脉血气分析、D- 二聚体、心电图检查可提示PTE;超声心动图对PTE有诊断作用；螺旋CT肺动脉血管造影 (CTPA)是确诊PTE的可靠方法。结论PTE是心血管疾病中的常见病，对有症状的高危患者 应及早行CTPA检查，以明确诊断。
【关键词】肺栓塞；诊断；肺动脉造影
Clinical diagnosis analysis in 30 cases with pulmonary embolism ZHA Li-fen, SHAO Gang, ZHANG La~ti. The People's Hospital of Danyang, Danyang 212300, China
[Abstract ] Objective To investigate the diagnostic method and clinical characteristic in patients with pulmonary embolism by collecting and analyzing the date of PTE. Methods The data of 30 patients with pulmonary embolism were retrospectively analyzed in our hospital from 2009 to 2010. Results The PTE patients were often associated with the risk factors for deep venous thrombosis,trauma and fracture, cardiovascular events, arterial blood gas analysis, electrocardiography and D-dimer testing were helpful in indicating PTE. Echocardiography was a common technique for screening PTE. CT pulmonary angiography (CTPA) was a reliable method for diagnosing PTE. Conclusion PTE is a common disease involved in the lung vasculature. High risk patients should accept earlier CTPA for detecting PTE.
[Key words] Pulmonary embolism； Diagnosis； CTPA
肺血栓栓塞症(pulmonary thromboembolism, PTE)是一种因血栓栓子阻塞肺动脉系统， 产生相应症状和病理生理的一组疾病。其主要症状表现为肺循环和呼吸功能障碍，发病率、 病死率、误诊率高。如果