摘要
目的对比和分析指南颁布前后各10年我院急性PTE的诊治情况。方法对1991～2010年诊断的336例急性PTE回顾性分析。结果 1991～2000年诊断13例,2001～2010年为323例,增加28.3倍。1991～2000年7.7%行下肢深静脉检查,2001～2010年升至63.2%。首位危险因素为年龄(≥60岁)。1991～2000年临床诊断占31%,2000～2010年ECT和或CTPA确诊占99.1%。1991～2000年病死率31%,2001～2010年为3.5%,有统计学意义(P<0.05)。结论急性PTE发病率有增加趋势;≥60岁是首要危险因素;诊断模式从临床拟诊变为结合客观检查而确诊;规范化治疗可显著降低病死率。
Objective To compare and analyze the diagnosis and management of APE in two periods（1991~2000,2001-2010）.Methods The clinical data of 336 inpatients with APE were reviewed.Results In the first period（1991-2000）,13 cases of APE were diagnosed;in the second period（2001~2010）,323 cases of APE were diagnosed.In the first period,only 7.7% patients had examination of DVT,and in the second period,63.2% patients had it.The common risk factors in two periods were age.In the first period,clinical diagnosis is 31%.In the second period,diagnosis of ECT and/or CTPA is 99.1%.Mortality of the first period was 31%,and the other was 3.7%,and the mortality showed significant difference between two periods.Conclusions There is an obvious increasing trend of diagnosis of APE in inpatients.Diagnosis pattern has changed from clinical diagnosis to objective examination.With the help of guideline,the ability of clinicians to differentiate and determine APE diagnosis is improved.The standardized treatment can reduce mortality and improve prognosis significantly.
出处
《临床肺科杂志》
2012年第9期1567-1568,共2页
Journal of Clinical Pulmonary Medicine
