广西医学Issue(6)：726-729,4.DOI:10.11675/j.issn.0253-4304.2014.06.09
广西肺栓塞的临床特点分析
Clinical Features in Patients with Pulmonary Embolism in Guangxi Province
摘要
Abstract
Objective To explore the clinical characteristics of patients with pulmonary embolism ( PE) in Guangxi in order to improve the diagnosis and treatment of PE .Methods A clinical data of 202 patients with PE from 13 hospitals in Guangxi were analyzed .The probability of PE was evaluated by Wells and revised Geneva scores , respectively.Results The most common respiratory symptoms among 202 patients included dyspnea (81.2%),cough (60.9%),pleuritic chest pain (32.2%),pulmonary moist rale (33.2%) and tachycardia (33.2%).The laboratory examination showed that hypoxemia ( 81 .2%) , hypercapnia ( 62 .9%) and increased plama D-dimer level ( 87 .2%) were common .Electrocardiogram showed that precordial leads T wave inversion was observed in 43 .6% of the patients.Chest X-ray showed that pulmonary artery dilatation in the right lung was observed in 39.2%of the patients. Low probability ,intermediate probability and high probability of PE were 24.4%,48.8%and 26.8%,respectively,when evaluated by Wells score;And were 14.3%,70.8%and 14.9%,respectively,when evaluated by revised Geneva score . Conclusion The clinical features and laboratory examination results of PE are non-specific .Both Wells and revised Geneva scores have significances for the diagnosis of PE .关键词
肺栓塞/临床表现/低氧血症/D-二聚体/广西Key words
Pulmonary embolism/Symptom/Hypoxemia/D-dimer/Guangxi分类
医药卫生引用本文复制引用
蓝冰,秦志强,许承琼,陈显源,李党育,梁世廉..广西肺栓塞的临床特点分析[J].广西医学,2014,(6):726-729,4.基金项目
广西医药卫生科研课题 （）
