高原地区肺栓塞30例临床分析

摘要

目的 探讨高原地区肺栓塞的特点、病因、诊断和治疗.方法 对川西高原地区(海拔≥2700来)2009年7月～2010年12月确诊的30例单纯肺栓塞及其他疾病并发肺栓塞的患者的流行病学资料、临床表现、辅助检查和治疗进行临床分析和总结.结果 30例患者均长期高原习性生活,伴有红细胞增多症,肺检塞发病率高.结论 高原地区肺栓塞与高原红细胞增生有关,高原红细胞增多症常见,并发深静脉血栓及肺栓塞起病隐匿,应早期诊断,积极治疗原发病,抗凝治疗周期应较长.临床医生需提高对本病的认识,力争做到早预防、早诊断及早治疗.%Objective To research the characteristics, reason and diagnosis and clinical treatment of PE in highland regions. Methods The epidemiologic data, clinic situation, accessory examination and treatment of 30 PE patients and other diseases complicating PE patients in highland regions were analyzed. Results All the 30 patients lived in highland regions. The erythrocytosis and PE had a high incidence rate. Conclusion PE in highland regions is closely related with highland erythrocytosis, and erythrocytosis is common.