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《Fujian Meidical Journal》 2002-06
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Clinical analysis of 10 acute pulmenary embolism

Zhou Ruiju,Qiu Jianguo,Liu Yifei,et al.Department of cardiology, No.3 hospital affiliated to Suzhou university.Changzhou 213003,China  
Objective To improve the diagnosis and therapy of acute pulmonary embolism(APE).Methods clinical data of 10 patients with APE were analyzed.Results 10 patients were an average of 47 4 years old.The commonly clinical manifestations included dyspna during exercises(100%),chest pain(60%),hemoptysis(30%),symptoms of all above determined as pulmonary infarction(20%) and shock or fainting(10%),shortness of breath and fast heart beats(9/10),jugular conestion(1/10)and non symmetric swell and tenderness in lower extremity(8/10) account for helpful signs.Abnormal arterial blood gas,high level of fibrinogenemia,together with the changes in ECG.Echocardiogram and spiral CT were applied to diagnosis of APE and evaluation of therapeutie effieacy.Among all cases,5 patients were treated with thrombolysis and anticogalation therapy,1 with vena caval filter in the prevention of pulmonary embolism.Conclusion Diagnosis of APE mainly depends on patients clinical symptoms and signs,as well as labortatory profiles and epidemiology,early diagnosis and therapy will improve its prognosis.
【CateGory Index】: R563.5
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