126例肺血栓栓塞的临床诊治分析

摘要

Objective To investigate the predisposing factors, clinical manifestations, diagnosis and treat-ment of pulmonary thromboembolism ( PTE) patients. Methods The clinical data of 126 cases of PTE were retro-spectively analyzed from January 2009 to September 2012. Results Among the 126 cases of PTE, 13 recovered, 103 improved, 5 died, and 5 cases gave up treatment. Conclusion There is no specificity for the clinical manifes-tations of patients with pulmonary embolism. D-dimer, electrocardiogram, echocardiography, compression venous ul-trasonography, and computed tomography pulmonary angiography should be combined to diagnose PTE. Thrombolytic or anticoagulant therapy should be given as early as possible after the diagnosis.%目的：探讨肺血栓栓塞的危险因素、临床表现、诊断及治疗。方法回顾性分析中山大学附属第一医院2009年1月至2012年9月收治的126例肺血栓栓塞患者的临床资料。结果126例肺血栓栓塞患者中，治愈13例，好转103例，死亡5例，放弃治疗5例。结论肺血栓栓塞患者临床表现缺乏特异性，临床不排除肺血栓栓塞时，应结合D-二聚体、心电图、心脏彩超、下肢静脉彩超、CT肺动脉造影( CTPA)等检查，明确诊断，尽早给予溶栓或抗凝治疗。