Clinical Analysis of 37 Patients With Pulmonary Embolism
Hong Yang-yi · Journal of Nanhua University · 2007
Objective To analyse pulmonary embolism and to evaluate diagnostic procedure and therapeutic efficacy for patients with pulmonary embolism.Methods The predisposing factors,clinical assessmenst,diagnosis and treatment of 37 consecutive patients with established pulmonary embolim were analyzed retrospectively.Results Total mistake diagnosis rate of first consultation in 37 PE was 64.86%,in all 37 patients with PE,91.89% of them has hypoxaemia and /or hypocapnemia,94.59% D-dimer 500 mg/L,86.48% have tipical findings on ultrasonic cardiogram(UCG), 100% have positive outcome on lung scanning.The sensitivity of CT and pulmonary angiography were 97.27% and 100%.18 patients received thrombolytic therapy,none died.The other 19 patients received anticoagulant therapy,one died.Conclusions The incidence of pulmonary embolism is closely related to the associated factors.Clinical symptoms and signs of pulmonary embolism were atypical.The role of clinical assessment was important.Thrombolytic treatment can im prove the survival rate of patients with pulmonary embolism.Mistake diagnosis rate of PE is high,to improve diagnosis consciousness and diagnosis level is the urgent.