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肺动脉栓塞13例报告

13 cases of pulmonary artery embolism

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【作者】 杨文忠张庆华

【Author】 YANG Wen-zhong. Medical Department, Wuhan Central Hospital of CCTEB, Wuhan 430070, China ZHANG Qing-hua. Cardiovascular Medical Department, People’s Hospital of Wuhan University, Wuhan 430060, China

【机构】 中建三局武汉中心医院内科武汉大学人民医院心内科 湖北省武汉市430070湖北省武汉市430060

【摘要】 目的探讨肺动脉栓塞的临床特点,提高对引起肺动脉栓塞高危因素的认识。方法对13例肺动脉栓塞症状、体征及实验室检查进行回顾分析。结果13例肺动脉栓塞误诊7例(死亡5例),高达53.85%;5例经肺动脉造影,采用尿激酶溶栓;3例口服华法令及通心络。结论肺动脉栓塞临床并非少见,症状变化多端,不易识别,应提高对肺动脉栓塞的警惕性。

【Abstract】 Objective To discuss the clinical characteristics of pulmonary artery embolism and its high risk factors. Methods To review the signs, symptoms and laboratory assays on 13 cases of pulmonary artry embolism and conclude the clinical experiences. Results 7 cases were misdiagnosed in the 13 cases of pulmonary artery embolism (including 5 dead cases) which highly reached to 53.85%; 5 cases were implemented pulmonary arteriography and adopted urokinase for thrombolysis; 3 cases took warfarin and tongxinluo by oral. Conclusions Embolism of pulmonary arteries is not few, its symptoms are uncertain and not easily identified, therefore the vigilance for embolism of pulmonary arteries should be heightened.

  • 【文献出处】 中国厂矿医学 ,Chinese Medicine of Factory and Mine , 编辑部邮箱 ,2005年03期
  • 【分类号】R563.5
  • 【下载频次】27
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