【摘要】 目的了解广西肺栓塞患者临床特征,以提高肺栓塞的诊治水平。方法对广西13家医院202例确诊肺栓塞患者的临床表现和实验室检查结果进行分析,采用Wells评分和修正Geneva评分评判肺栓塞的可能性。结果 202例患者的主要临床表现以呼吸困难(81.2%)、咳嗽(60.9%)、胸膜炎样疼痛(32.2%)、肺部湿性啰音(33.2%)、心率增快(33.2%)为最常见。实验室检查常见低氧血症(81.7%)、低碳酸血症(62.9%)、血浆D-二聚体水平升高(87.2%),部分患者心电图检查显示胸前导联T波倒置(43.6%)及X线胸片显示右下肺动脉增粗(39.2%)。Wells评分肺栓塞低度可能、中度可能和高度可能分别占24.4%、48.8%和26.8%;修正Gevena评分肺栓塞低度可能、中度可能和高度可能分别占14.3%、70.8%和14.9%。结论肺栓塞临床表现、实验室检查无特异性,Wells评分和修正Geneva评分判断肺栓塞有一定意义。更多还原

【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 from13 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.更多还原