【摘要】 目的探究急诊不同确诊治疗时机对急性肺栓塞的疗效及预后的影响。方法选取江门市中心医院急诊科2016年5月—2018年4月收治的62例急性肺栓塞患者作为研究对象,根据急诊确诊时间的不同,分为短时间组(30例)和长时间组(32例),确诊治疗时间短时间组在2周以下,长时间组在2周及以上,比较两组的临床疗效和预后情况。结果临床治疗总有效率短时间组为93.33%,长时间组为71.87%,两组差异有统计学意义(P<0.05)。随访1年后,不良事件发生率短时间组2.67%,长时间组6.90%,两组差异有统计学意义(P<0.05)。结论急诊2周内确诊治疗急性肺栓塞疗效显著,可以改善预后,促进患者的恢复,值得推广。更多还原

【Abstract】 Objective To explore the effect of different emergency diagnosis and treatment timing on the efficacy and prognosis of acute pulmonary embolism. Methods 62 patients with acute pulmonary embolism from May,2016 to April,2018 were regarded as the research object. According to different emergency department diagnosis time,they were divided into the short time group(30 cases)and long time group(32 cases). Diagnosis and treatment time of short time group was less than 2 weeks,and that of long time group was 2 weeks or more. Clinical curative effect and prognosis of two groups were compared. Results Total effective rate of short time group was 93.33%,and that of long time group was 71.87%. The difference between the two groups was statistically significant(P<0.05). After 1-year follow-up,adverse events rate of short time group was 2.67%,and that of long time group was 6.90%. The difference between the two groups was statistically significant(P<0.05). Conclusion Acute pulmonary embolism is effective in emergency treatment within 2 weeks,which can improve the prognosis and promote the healthy recovery of patients. So it is worthy of promotion.更多还原