【摘要】 目的　探讨 4 6年来我院肺栓塞的基础病因和诊治情况的变迁。进一步提高对肺栓塞的认识。为今后肺栓塞的防治工作提供参考依据。方法　对本院 195 6～ 2 0 0 2年诊断的 6 2例 (其中 6例尸检 )肺栓塞病例进行回顾性分析。结果　 1990～ 2 0 0 2年肺栓塞平均住院人数较 1989年前有所增长 ,病死率由 5 9.1%降至16 .7%。 195 6～ 1989年 ,临床拟诊占 81.8% ,肺动脉造影只有 4 .5 % ;1990～ 2 0 0 2年经CT及ECT确诊病例达 5 0 % ,经肺动脉造影确诊占 4 4 .4 % ,临床拟诊仅占 5 .5 %。结论　近年来肺栓塞发病呈增加趋势 ,深部静脉血栓形成已成为肺栓塞的主要基础病因。近 10年来肺栓塞死亡率下降与开展溶栓治疗有关。早期诊断和及时溶栓治疗是抢救大面积肺栓塞成功的关键。更多还原

【Abstract】 Objective:To search trends of underline diseases’ diagnosis and management of pulmonary embolism (PE) from the First Hospital of Xi’an tiaotong University in the last forty six years and highlight the understanding of PE. Methods:62 cases (6 autopsy cases )of PE were reviewed retrospectively from 1956 to 2002 in the First Hospital of XAJT.Results:The annually admitted PE cases in 1990～2002 period were compared with those in 1956～1989 period .Mortality fell from 59.1% to 16.7%. In the first period (1956～1989) 81.8% of patients were diagnosed based on clinical symptoms, 4.5% on catheterization, as compared with 50% on ECT and on CT, 44.4% on catheterization and only 5.5% on simply clinical symptoms in the last period (1990～2002). Conclusion:There is an increasing trend of incidence of PE in the last half century. DVT events become the most common underline disease or risk factor of PE. Decreasing mortality of PE in last 10 years is associated with the active fibrinolysis. The key of rescuing large area PE successfully is earlier diagnosis and fibrinolysis as soon as possible.更多还原