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To Study the Diagnosis and Treatment of 23 Suffers for Acute Pulmonary Embolism in Baic Hospitals<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" />
秦俊明* 霍水平#
*山西中医学院，山西 030012
*山西省襄汾县人民医院内一科，山西 041500
#山西省襄汾县人民医院放射科
*#山西省襄汾县人民医院
Jun-Ming Qin Shui-Ping Huo
Abstract
Objective:To study the diagnosis and treatment for acute pulmonary embolism in basic hospitals.
Methods: Under the conditions of mon-pulmonary ateriography, nuclide haggis perfusion scanning, high-speed auger-CT, strengthening scanning, D-dimer, according to the results of the symptom, electrocardiogram, echocardiogram, auger-CT and X-ray, make full use of the equipment on hand to examine the suffers of acute pulmonary embolism as early and quicklyas possible, and make an active and efficient treatment by vein thrombolysis or anticoagulant.
Results: Out of 23suffers,7are sudden shock,7vein thrombolysis,4die,16 are simplify anticoagulant and no one dies.
Conclusion：The basic hospitals can make full use of the equipment on hand to enhance the awareness of diagnosing pulmonary embolism. According to the results of the symptom, electrocardiogram, auger-CT and X-ray, check out the suffers as early as possible and seize the chance to offer the suffers in the rural areas a timely treatment so as to inrease the rate of living and decrease the rate of death.
Key Words：Basic hodpitals; Pulmonary embolism
肺动脉栓塞是内源性或外源性栓子堵寒肺动脉或其分支引起肺循环障碍的临床和病理综合征，是一种常见疾病。但临床漏诊率为67%，假阳性率为63%，诊断正确者仅1/3，究其原因，可能主要与对肺栓塞的认识不够和缺少有效的诊断技术和手段有关。急性肺栓塞患者约11%死于发病后1小时内，89%活到1小时以上，多数患者有机会进行检查和治疗，经治疗的急性肺栓塞患者比不治疗者死亡率低5～6倍，治疗的患者中92%可生存。[1]
我院地处血栓栓塞性疾病高发区，但基层医院设备简陋，缺乏对肺栓塞的直接确诊手段，加上对肺栓塞的诊断意识不够，因而在2002年以前，无1例确诊的肺栓塞病例，而2002年8月至今两年时间，我们成功诊治肺栓塞患者23例，痊愈19例，取得了良好的社会效益，特总结如下：
1. 一般情况：23例患者中，以“冠心病、心绞痛”收治者7例：以“肺炎”收治者4例；以“支气管哮喘”收治者1例；咳嗽2例；晕厥1例；咯血1例；突发休克7例；反复肺栓塞者3例；死亡2例。 | 
