石河子地区住院患者肺血栓栓塞症的规范化诊治情况分析(1)
摘要：目的 探討石河子地区住院患者肺血栓栓塞症(PTE)的规范化诊断与治疗现状，客观评价呼吸科与非呼吸科患者PTE的规范化诊治水平。方法 回顾性分析2013年1月～2016年2月于石河子大学医学院第一附属医院住院的PTE患者的临床资料，对人口学资料、首诊住院科室、危险因素、临床表现、诊断方法、治疗情况等进行分析。结果 共收集住院的PTE患者73例，其中男32例(43.8%)，女41例(56.2%)，平均年龄(63.5±13.6)岁；呼吸内科占40%；临床表现以呼吸困难为主，达62例(84.9%)；72例(98.6%)的患者行CT肺动脉造影(CTPA)确诊，1例(1.4%)通过肺增强CT确诊；63例(86.3%)行超声心动图检查，51例(69.9%)行深静脉血栓形成(DVT)的筛查，25例(34.2%)行脑钠肽(BNP)或N末端脑钠肽前体(NT-proBNP)检查，62例(84.9%)行肌钙蛋白检查，63例(86.3%)采用抗凝治疗，8例(11.0%)采取溶栓治疗，1例(1.4%)行腔静脉滤器植入术；2例(2.7%)放弃治疗；不良反应主要表现为出血(6.8%)，肝功能异常(9.6%)；住院期间的病死率为5.5%；呼吸科与非呼吸科相比，呼吸科确诊PTE时间短，非呼吸科溶栓患者多。结论 在石河子地区，呼吸科与非呼吸科协作诊治PTE的规范化水平较高，临床医师的PTE诊断意识、精确的临床分型、PTE成因的探究至关重要。
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关键词：肺栓塞；规范化；诊治情况
Abstract：Objective To explore the Shihezi area of hospitalized patients with pulmonary thromboembolism(PTE) diagnosis and treatment status of standard，objective evaluation of Department of respiration and non PTE patients in Department of respiration standardized diagnosis and treatment. Methods Retrospective analysis of clinical data in the First Affiliated Hospital of Medical College of Shihezi University hospital in January 2013 February ～2016 of PTE patients，the demographic data， diagnosis hospital，risk factors，clinical manifestations，diagnostic methods，treatment were analyzed. Results A total of 73 patients with PTE hospitalized patients，32 cases were male (43.8%)，41 cases were female (56.2%)，mean age(63.5± 13.6) years；Department of respiratory medicine accounted for 40%；the clinical manifestations of dyspnea.In 62 cases (84.9%)； 72 cases(98.6%) patients with CT pulmonary artery angiography(CTPA) diagnosis，1 cases(1.4%) enhanced CT diagnosed by lung；63 cases(86.3%) underwent echocardiographic examination，51 cases (69.9%) for deep venous thrombosis(DVT) The screening of 25 cases(34.2%) for brain natriuretic peptide (BNP) or N terminal brain natriuretic peptide(NT-proBNP)，62 cases(84.9%) underwent cardiac troponin testing， 63 cases(86.3%) treated with anticoagulation，8 cases (11%) by thrombolytic therapy，1 cases (1.4%) underwent cava filter implantation；2 cases (2.7%) gave up treatment；the main adverse reactions such as hemorrhage(6.8%)， abnormal liver function(9.6%)；mortality during hospitalization was 5.5%；compared with the non Department of respiration department of respiration，Department of respiration confirmed PTE short time，non thrombolysis in patients with multiple Department of respiration. Conclusion In the Shihezi area，the high level specification Department of respiration with the non cooperative department of respiration diagnosis and treatment of PTE，PTE in the diagnosis of awareness of clinicians，typing accurate clinical research，PTE formation is very important., 百拇医药(李明磊 许西琳 刘冬 何小双 刘敏 翟润晴)
, http://www.100md.com
关键词：肺栓塞；规范化；诊治情况
Abstract：Objective To explore the Shihezi area of hospitalized patients with pulmonary thromboembolism(PTE) diagnosis and treatment status of standard，objective evaluation of Department of respiration and non PTE patients in Department of respiration standardized diagnosis and treatment. Methods Retrospective analysis of clinical data in the First Affiliated Hospital of Medical College of Shihezi University hospital in January 2013 February ～2016 of PTE patients，the demographic data， diagnosis hospital，risk factors，clinical manifestations，diagnostic methods，treatment were analyzed. Results A total of 73 patients with PTE hospitalized patients，32 cases were male (43.8%)，41 cases were female (56.2%)，mean age(63.5± 13.6) years；Department of respiratory medicine accounted for 40%；the clinical manifestations of dyspnea.In 62 cases (84.9%)； 72 cases(98.6%) patients with CT pulmonary artery angiography(CTPA) diagnosis，1 cases(1.4%) enhanced CT diagnosed by lung；63 cases(86.3%) underwent echocardiographic examination，51 cases (69.9%) for deep venous thrombosis(DVT) The screening of 25 cases(34.2%) for brain natriuretic peptide (BNP) or N terminal brain natriuretic peptide(NT-proBNP)，62 cases(84.9%) underwent cardiac troponin testing， 63 cases(86.3%) treated with anticoagulation，8 cases (11%) by thrombolytic therapy，1 cases (1.4%) underwent cava filter implantation；2 cases (2.7%) gave up treatment；the main adverse reactions such as hemorrhage(6.8%)， abnormal liver function(9.6%)；mortality during hospitalization was 5.5%；compared with the non Department of respiration department of respiration，Department of respiration confirmed PTE short time，non thrombolysis in patients with multiple Department of respiration. Conclusion In the Shihezi area，the high level specification Department of respiration with the non cooperative department of respiration diagnosis and treatment of PTE，PTE in the diagnosis of awareness of clinicians，typing accurate clinical research，PTE formation is very important., 百拇医药(李明磊 许西琳 刘冬 何小双 刘敏 翟润晴)