陆慰萱 李方 朱元珏 罗慰慈 金征宇 管珩 陈毅德 刘大鹰 100730 中国医学科学院、中国协和医科大学 北京协和医院呼吸科(陆慰萱、朱元珏、罗慰慈、陈毅德、刘大鹰)，核医学科(李方)，放射科(金征宇)，血管外科(管珩) 中华内科杂志 1998 0 37 4


    关键词： 期刊 zhnkzz 0 肺栓塞放射性核素显像 fur -->


    

【摘要 】 目的 提高对肺血栓栓塞(PTE)的认识。方法 经肺核素显像、肺动脉造影和X线胸片等方法，对52例PTE进行回顾性分析。结果 近年PTE发病率似有升高趋势。引发深静脉血栓性静脉炎是导致PTE的危险因素，除手术、下肢创伤(26.9%)、慢性心、肺疾病(23.1%)和恶性肿瘤(15.4%)外，肾病综合征占19.2%；肺灌注显像呈PTE低度可疑(LP)者中，13.3%(2/15)被诊断为PTE；如按其中临床上PTE高度可疑者计算，则40%(2/5)为PTE。本组病死率为19.2%，未治疗者为77.8%，治疗者为7.0%。结论 PTE仍是一个被人们认识不足的疾病，因此应给予重视。

A retrospective study of 52 cases of pulmonary thromboembolism Lu Weixuan, Li Fang, Zhu Yuanjue, et al. Department of Respiratory Diseases, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730

     【 Abstract 】 Objective To deepen the understanding of pulmonary thromboembolism (PTE). Methods We reviewed 52 cases of pulmonary thromboembolism confirmed by lung radionuclide images, pulmonary artery angiograms, chest radiographs, etc. Results The incidence of PTE tended to increase in Peking Union Medical College Hospital. Nephrotic syndrome (19.2%) as a risk factor for PTE should draw more attention. Other risk factors are history of operation, injury of lower extremities (26.9%), chronic pulmonary or heart diseases (23.1%) and malignant tumors (15.4%), 13.3% of the patients with low probability of PTE on lung scan and 40% of those with clinically high probability for PTE were confirmed to have the disease. Low probability for PTE on lung scan did not reflect the real danger of occurrence of PTE. The mortality of PTE was 19.2%(77.8% in untreated group and 7% in treated group). Conclusion PTE, at present, remains an underdiagnosed and undertreated disease and more attention should be paid to it so as to raise the rate of accurate diagnosis and improve its outcome.

     【 Key words 】 Pulmonary embolism Radionuclide imaging

肺血栓栓塞(PTE)可合并于临床内、外、妇产科等许多疾病 ......

    百拇医药网 http://www.100md.com/html/DirDu/2005/07/06/65/05/91.htm

您现在查看是摘要页，全文长 15170 字符。