摘要
目的:探究肺血栓栓塞症患者的诊断方法和危险因素。方法:选取2013年3月-2016年8月来我院就诊的137例肺血栓栓塞症患者,对他们的危险因素、检查结果和临床表现进行回顾性分析。结果:经过肺通气灌注扫描和CTPA检查确诊为肺血栓栓塞症的患者,最初、最早的临床症状是呼吸困难。肺血栓栓塞症伴随着体内Pa O2下降、肺泡-动脉血氧分压差增大、D-二聚体浓度升高,从超声心动图中可见右心扩大、肺动脉压增高等。结论:经过一系列的检查和实验证明,肺血栓栓塞症患者的临床症状表现不统一,在对未确诊的患者进行检测时最好使用肺通气灌注扫描和CTPA检查,尽可能的减少漏诊率和误诊的情况。
Objectivee To explore the diagnostic methods and risk factors of pulmonary thromboembolism in patients. Methodss The risk factors, examination results and clinical manifestations of 137 patients with pulmonary thromboembolism from March 2013 to August 2016 were retrospectively analyzed. m March 2013 to August 2016 were retrospectively analyzed. Results Results After pulmonary ventilation perfusion scan and CTPA examination were confirmed as pulmonary thromboembolism, the first and earliest clinical symptoms were dyspnea. Pulmonary thromboembolism accompanied by Pa O2 decline,alveolar-arterial oxygen differential pressure increase,D-Dimer increased, from echocardiography can be seen in the right heart enlargement, pulmonary arterial pressure increased. Conclusionn After a series of tests and experiments, the clinical symptom of pulmonary thromboembolism is not uniform, and the medical staff should strengthen the nursing work of the patients with high risk factors of pulmonary thromboembolism, it is best to use Pulmonary ventilation perfusion scan and CTPA in the detection of undiagnosed patients and to reduce the missed diagnosis rate and misdiagnosis condition as far as possible.
出处
《影像研究与医学应用》
2017年第17期171-173,共3页
Journal of Imaging Research and Medical Applications
关键词
肺血栓栓塞症
回顾性分析
肺通气灌注扫描
CTPA检查
Pulmonary thromboembolism
Retrospective analysis
Pulmonary ventilation perfusion scan
CTPA Inspection
