Changes of Diagnosis and Management of Acute Pulmonary Thromboembolism in Hospital during the twenty years
MA Zhuan · Journal of Clinical Pulmonary Medicine · 2012
Objective To compare and analyze the diagnosis and management of APE in two periods(1991~2000,2001~2010).Methods The clinical data of 336 inpatients with APE were reviewed.Results In the first period(1991~2000),13 cases of APE were diagnosed;in the second period(2001~2010),323 cases of APE were diagnosed.In the first period,only 7.7% patients had examination of DVT,and in the second period,63.2% patients had it.The common risk factors in two periods were age.In the first period,clinical diagnosis is 31%.In the second period,diagnosis of ECT and/or CTPA is 99.1%.Mortality of the first period was 31%,and the other was 3.7%,and the mortality showed significant difference between two periods.Conclusions There is an obvious increasing trend of diagnosis of APE in inpatients.Diagnosis pattern has changed from clinical diagnosis to objective examination.With the help of guideline,the ability of clinicians to differentiate and determine APE diagnosis is improved.The standardized treatment can reduce mortality and improve prognosis significantly.