| 普胸术后肺栓塞23例临床分析 |
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| 引用本文： | 黄朝林,陈兆辉,倪正义,周密,许俊.普胸术后肺栓塞23例临床分析[J].临床肺科杂志,2011,16(5):705-706. |
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| 作者姓名： | 黄朝林 陈兆辉 倪正义 周密 许俊 |
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| 作者单位： | 武汉,武汉市医疗救治中心胸外科,湖北,430023 |
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| 摘 要： | 目的探讨普胸术后肺栓塞的临床特点、诊断方法和治疗措施及预后。方法对我院2000年1月～2010年10月普胸术后的肺栓塞患者23例进行临床分析。结果23例肺栓塞患者，出现呼吸困难18例，胸痛15例，咯血4例，发热5例，晕厥3例；17例经肺增强CT或CT肺动脉造影明确诊断，23例均行99MTC肺灌注扫描，表现为段性或叶性放射性稀疏或缺损。结论肺栓塞临床表现多样，诊断需结合易患因素，CT肺动脉造影、99MTC肺灌注扫描可帮助明确诊断。早期正确治疗PE，可减少死亡率。
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| 关 键 词： | 普胸术后 肺栓塞 诊断 治疗 |
Clinical analysis of pulmonary embolism in 23 postoperative patients with chest disease |
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| HUANG Chao-lin,CHEN Zhao-hui,NI Zheng-yi,et al..Clinical analysis of pulmonary embolism in 23 postoperative patients with chest disease[J].Journal of Clinical Pulmonary Medicine,2011,16(5):705-706. |
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| Authors: | HUANG Chao-lin CHEN Zhao-hui NI Zheng-yi |
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| Affiliation: | HUANG Chao-lin,CHEN Zhao-hui,NI Zheng-yi,et al.Wuhan Medical Treatment Center Wuhan 430023,China |
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| Abstract: | Objective To investigate the clinical characteristics,diagnosis and treatment for pulmonary embolism(PE) in patients after chest operation.Methods The clinical data of 23 patients who developed pulmonary embolism after chest operation were retrospective analysed.Results In all 23 PE patients,dyspnea was observed in 18 cases,chest pain in 15 cases,haemoptysis in 4 cases,fever in 5 cases,syncope in 3 patients,.17 patients were diagnosed by enhanced chest CT scaning.Segmental or lobar radioactive sparse or def... |
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| Keywords: | chest disease postoperative PE diagnosis treatment |
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