摘要
Abstract
Objective:To investigate the clinical manifestations,diagnosis and treatment of acute pulmonary embolism.Method:The clinical data of 56 cases with acute pulmonary embolism were retrospectively analyzed,including clinical manifestations,laboratory tests,treatment methods,and clinical efficacy.Result:There were 55 cases(98.2%) of dyspnea,22 cases(39.3%) of syncope,11 cases(19.6%) of chest pain,9 cases(16.1%) of cough,6 cases(10.7%) of convulsions,4 cases(7.1%) of hemoptysis,3 cases(5.4%) of dyspnea,chest pain,hemoptysis triad.Arterial blood gas analysis,electrocardiogram,chest X-ray,echocardiography were helpful in the diagnosis,and enhanced spiral CT pulmonary had highest accuracy rate.Thermal analgesia,oxygen,monitoring of the general treatment were given to patients as well as anticoagulation combined with thrombolytic therapy.Five patients died,and the survival rate was 91.0%. Conclusion:The clinical symptoms of acute pulmonary embolism are not typical,easy to misdiagnose,and clinical attention should be sufficient.Lung enhanced helical CT can be used as an important auxiliary examination,and early anticoagulation combined thrombolytic therapy can achieve good clinical efficacy.关键词
肺栓塞/肺增强螺旋CT/溶栓治疗Key words
Pulmonary embolism/Lung enhanced helical CT/Thrombolytic therapy分类
医药卫生
