摘要
目的:对发生的肺栓塞(PE)做了临床分类,并评价不同类型所采用的不同治疗对策。方法:1995年12月～2000年7月入院的PE患者37例。对31例急性PE采用静脉溶栓或导管介入治疗。结果:急性PE37例初诊总误诊率为61.1％,总死亡率为27.0％;术后发生PE9例的初诊误诊率为100％,死亡率为66.7％;急性PE的静脉溶栓有效率为77.7％。介入治疗可使急性广泛型PE迅速摆脱临床症状。结论:1.PE的误诊率高,死亡率高,特别是术后发生的PE易引发临床纠纷。提高诊断意识和诊断水平是医生的当务之急。2.静脉溶栓是治疗急性PE的有效手段之一。3.危重急性PE的介入治疗具有良好的前景。
Subject: To classify pulmonary embolism clinically and decide proper treatments. Method: From december 1995 to July 2000. 37 patients with acute PE were hospitalized. 31 acute PEs were treated by veous thrombolytic therapy or intervention treatment. Result: Total mistake diagnosis rate of first consultation in 36 acute PE was 61.1 %, total death rate was 26.3%. Mistake diagnosis rate of first consultation of 9 PE after operation was 100%, death rate was 66.7%. The effective rate of thrombolytic therapy was 77.7% . Intervening treatment can make acute massive PE to get rid of clinical symptom promptly. Conclusion:1. Both mistake diagnosis rate of pulmonary embolism and death rate are high, To improve diagnosis level and diagnosis consciousness is the urgent. 2. The venous thrombolytic therapy is the one of effective treatmints of acute PE. 3. Intervening treatment of dangerous acute PE has good prospect in the future.
出处
《中国医药导刊》
2001年第1期20-22,共3页
Chinese Journal of Medicinal Guide
关键词
急性肺栓塞
溶栓治疗
介入治疗
acute pulmonary embolism
clinical type
thrombolytic therapy
intervening treatment
