Diagnosis and treatment of acute pulmonary embolism_0.docVIP

 PAGE \* MERGEFORMAT 16 Diagnosis and treatment of acute pulmonary embolism [Abstract] Objective To study the pulmonary embolism in patients with clinical manifestations, diagnosis and treatment. Methods 47 patients with complete data were retrospectively analyzed data lines. Results Of the 40% of patients with lower extremity deep venous thrombosis, with typical chest pain, hemoptysis, shortness of breath were only 2 cases, 72% of patients had hypoxemia, 84% of patients had elevated D-dimer, 77% of patients with Echocardiography shows increased pulmonary artery systolic pressure, all the patients after lung perfusion / ventilation scintigraphy or spiral CT enhanced scan diagnosis, was significantly improved in patients, interventional treatment of persons (pulmonary thrombectomy, thrombolytic therapy) accounted for 29%, combined with low molecular weight heparin and warfarin anticoagulation accounted for 41%. Conclusion non-specific signs and symptoms of pulmonary embolism, the most frequent cause of lower extremity deep venous thrombosis, the diagnosis of patients suspected to be routine screening ECG, blood gas analysis, D-dimer and echocardiography, a high degree of suspicion for a further examination lung perfusion / ventilation scintigraphy or spiral CT enhanced scan, conditional, there are indications when the interventional treatment of curative effect; low molecular weight heparin and warfarin anticoagulation therapy can also be achieved very good effect. [Keywords:] Pulmonary embolism; diagnosis; treatment Acute pulmonary embolism (pulmonary thrombo embolism, PTE) refers to the systemic venous system of free emboli within the pulmonary artery after the blockage caused by the trunk or branches of pulmonary circulation disorders clinical and pathological physiological syndrome, is a frequently occurring clinical common diseases is one of missed diagnosis and the high rate of misdiagnosis. In this paper, our hospital from 2002 to 2006, admitted 47