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肺栓塞54例临床分析 被引量:6

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摘要 目的提高对肺栓采诊疗的认识,减低肺栓塞漏、误诊率。方法回顾性分析54例肺栓塞患者临床表现、实验室榆查、螺旋CT、肺核素影像等临床资料。结果易发肺栓塞的因素为下肢深静脉血栓、原发心肺疾病、恶性肿瘤、外科手术及创伤、长期卧床〉1周者,在诊断过程中,D-二聚体测定可做为筛查疑似肺栓塞的高度敏感但非特异的方法,治疗时积极溶栓、抗凝治疗可降低病死率,肝素与华法林重叠3~5d有绝对的必要性。结论临床医师只要对疑似肺栓塞病例有高度警惕性,规范化诊断治疗,可明显改善其预后。
作者 葛璘 陈湘
出处 《临床医学》 CAS 2006年第1期31-33,共3页 Clinical Medicine
关键词 肺栓塞 诊断 治疗
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