21 cases of acute pulmonary embolism diagnosis and treatment of.docVIP

 PAGE \* MERGEFORMAT 8 21 cases of acute pulmonary embolism diagnosis and treatment of Of: Zhengli Wen Wen Feng Zhu Ximei [Keywords:] acute pulmonary embolism, the elderly, diagnosis, treatment Acute pulmonary embolism (PTE is a direct threat to the life of patients with severe critical one, has become common cardiovascular disease (1), in the United States and is recognized as one of the three fatal cardiovascular disease (2), the incidence rate has increased year by year trend. Because PTE clinical manifestations are not typical symptoms and signs of lack of specificity, often confused with other cardiopulmonary diseases, especially in elderly patients vulnerable to misdiagnosis, or even misdiagnosed as coronary heart disease, heart failure. This paper reviews the analysis of 21 elderly patients with PTE Clinical data of patients, aimed at raising awareness of the elderly diagnosis of pulmonary embolism and treatment level. 1 Clinical data 1.1 General Information Select January 2002 to January 2010 in hospital of 21 patients aged PIE, 11 males and 10 females, aged 60 to 72 years (mean 64.1 + -5.7 years old. The main symptoms are chest pain, shortness of breath and loss of consciousness, extremely severe difficulty in breathing, sense of impending doom, of which 6 cases of chest pain, shortness of breath, dyspnea in 16 cases, 4 cases of syncope, physical examination, all patients had varying degrees of breath and tachycardia, 11 cases of pulmonary second sound enhancement, lower limb swelling in 7 cases. 1.2 Risk factors 7 cases of deep venous thrombosis (5 patients had history of leg trauma, fracture in 4 cases, 2 cases of obesity, heart failure, 2 cases after surgery in 5 cases, 1 case of malignant tumors. 1.3 Diagnosis of the situation The first diagnosis of PTE diagnosis in only 5 cases, the initial diagnosis of coronary heart disease in 6 cases, 5 cases of myocardial infarction, syncope of unknown origin (TIA2 cases, 2 cases