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Study on the diagnosis and treatment of acute pulmonary embolism(PE)
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
- Issue:
- 11
- DOI:
- 10.3760/cma.j.issn.1008-6706.2003.11.004
- Key Word:
- 肺栓塞;放射性核素显像;溶栓;抗凝
Abstract： 目的探讨急性肺栓塞(PE)及时准确的早期诊断和治疗经验.方法对15例肺栓塞病人的临床资料进行分析.结果血气分析、D-二聚体是肺栓塞的初步筛选手段,D-二聚体＞500 μg/L为73.3%,氧合指数＜300,阳性率80%,放射性核素显像(ECT)V/Q阳性率达100%,CT增强扫描阳性率81.8%,肺动脉造影阳性率100%.通过重组组织型纤溶酶原激活剂(rt-PA)或尿激酶(UK)溶栓,速避凝及华法令抗凝,14例显效,1例死亡.结论以不明原因呼吸困难者需检查ECT或肺动脉造影排除PE,PE予UK及速避凝、华法令序贯治疗能取得良好治疗效果.
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