亚段及单一段肺栓塞临床特点分析(1)
摘 要：目的 探討亚段及单一段肺栓塞的临床特征、高危因素、治疗及预后。方法 分析我院收治的60例累及亚段及单一段肺栓塞患者的危险因素、临床表现、动脉血气分析、D-二聚体、栓塞部位，比较单一段及亚段肺栓塞的临床特征及预后。结果 60例患者中累及单一段36例，累及亚段24例。累及亚段或单一段的肺栓塞患者临床表现不典型，主要包括呼吸困难、心绞痛样胸痛、心悸、胸膜炎样胸痛、咳嗽，其中8.33%无临床症状。单一段组呼吸困难发生率为80.56%，高于亚段组的45.83%(P<0.05)。栓塞部位累及右肺多见。60例患者中合并高血压病(48.33%)，糖尿病(18.33%)，COPD(6.67%)，脑卒中(10.00%)，肿瘤(8.33%)，心衰(11.67%)，房颤(13.33%)，高脂血症(38.33%)，冠心病(23.33%)，感染性疾病(3.33%)，手术、外伤、骨折(11.67%)，下肢静脉曲张(5.00%)，合并DVT(16.67%)。单一段组肺泡动脉氧分压差、D-二聚体阳性率均高于亚段组(P<0.05)。结论 累及亚段或单一段的肺栓塞临床表现多样，血浆D-二聚体敏感性不高，抗凝治疗总体预后良好。
, 百拇医药
关键词：单一段肺栓塞;亚段肺栓塞;周围型肺栓塞
中图分类号：R563.5 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.24.029
文章编号：1006-1959(2018)24-0105-03
gate the clinical features， risk factors， treatment and prognosis of sub-segment and single-stage pulmonary embolism. Methods To analyze the risk factors， clinical manifestations， arterial blood gas analysis， D-dimer and embolization sites of 60 patients with partial and partial pulmonary embolism admitted in our hospital. The clinical features and prognosis of single segment and sub-segmental pulmonary embolism were compared. Results Among the 60 patients， 36 cases were involved in a single segment， and 24 cases were involved in the sub-segment. Patients with pulmonary embolism involving sub-segment or single segment have atypical clinical manifestations， including dyspnea， angina pectoris， palpitations， pleurisy-like chest pain， and cough， of which 8.33% have no clinical symptoms. The incidence of dyspnea in a single group was 80.56%， which was higher than that in the subgroup 45.83% (P<0.05). The embolization site is more common in the right lung. 60 patients with hypertension (48.33%)， diabetes (18.33%)， COPD (6.67%)， stroke (10.00%)， tumor (8.33%)， heart failure (11.67%)， atrial fibrillation (13.33% )， hyperlipidemia (38.33%)， coronary heart disease (23.33%)， infectious disease (3.33%)， surgery， trauma， fracture (11.67%)， varicose veins of the lower extremities (5.00%)， combined with DVT (16.67%) . The partial pressure difference of the alveolar arteries and the positive rate of D-dimer in the single segment group were higher than those in the sub-segment group (P<0.05). Conclusion The clinical manifestations of pulmonary embolism involving sub-segment or single segment are diverse， plasma D-dimer sensitivity is not high， and the overall prognosis of anticoagulation therapy is good., 百拇医药(李光毅 玄甜甜)
, 百拇医药
关键词：单一段肺栓塞;亚段肺栓塞;周围型肺栓塞
中图分类号：R563.5 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.24.029
文章编号：1006-1959(2018)24-0105-03
gate the clinical features， risk factors， treatment and prognosis of sub-segment and single-stage pulmonary embolism. Methods To analyze the risk factors， clinical manifestations， arterial blood gas analysis， D-dimer and embolization sites of 60 patients with partial and partial pulmonary embolism admitted in our hospital. The clinical features and prognosis of single segment and sub-segmental pulmonary embolism were compared. Results Among the 60 patients， 36 cases were involved in a single segment， and 24 cases were involved in the sub-segment. Patients with pulmonary embolism involving sub-segment or single segment have atypical clinical manifestations， including dyspnea， angina pectoris， palpitations， pleurisy-like chest pain， and cough， of which 8.33% have no clinical symptoms. The incidence of dyspnea in a single group was 80.56%， which was higher than that in the subgroup 45.83% (P<0.05). The embolization site is more common in the right lung. 60 patients with hypertension (48.33%)， diabetes (18.33%)， COPD (6.67%)， stroke (10.00%)， tumor (8.33%)， heart failure (11.67%)， atrial fibrillation (13.33% )， hyperlipidemia (38.33%)， coronary heart disease (23.33%)， infectious disease (3.33%)， surgery， trauma， fracture (11.67%)， varicose veins of the lower extremities (5.00%)， combined with DVT (16.67%) . The partial pressure difference of the alveolar arteries and the positive rate of D-dimer in the single segment group were higher than those in the sub-segment group (P<0.05). Conclusion The clinical manifestations of pulmonary embolism involving sub-segment or single segment are diverse， plasma D-dimer sensitivity is not high， and the overall prognosis of anticoagulation therapy is good., 百拇医药(李光毅 玄甜甜)