Clinical Diagnosis Analysis on Pulmonary Artery Embolism complicated from Deep Vein Thrombus of Lower Limb
PENG Xiao-pinga,CHEN Xuan-yingb,WANG Meng-honga,ZHENG Zhe-qia,PENG Jin-tiana (a.Department of Cardiovasology;b.Department of Pharmacy,The First Affiliated Hospital of Nanchang University,Nanchang 330006,China)
Objective:To discuss the clinical diagnosis method and effect for pulmonary artery embolism complicated from lower limb deep vein thrombus.Methods: The results of diagnosis,treatment and a months follow up of patients in the First Hospital Affiliated of NanChang University in the years 2000.1~2006.6 were retrospective analyzed.Results: Among 32 patients of lower limb deep vein thrombus merge pulmonary artery embolism,8 showed lung arteriography;7 did pulmonary artery canula catheter directed thromholysis;30 did Implantation inferior vena cava filter;lower extremity thrombolysis 30;two cases died,one died of pulmonary arteriography,the other one died of cerebral hemorrhage.Conclusion:(1)the pulmonary artery embolism lacks the specific clinical manifestation and is easy to misdiagnose,should be emphasized.(2)the electrocardiogram,the courage vigor analysis,the D-dimer,16 CT,the lung blood stream pours into the scanning,the lower limb vein colored supersonic,the pulmonary artery radiography and so on all has respective advantage and shortcoming,we should apply in reason.(3)the pulmonary artery involvement treatment and dissolves the hitch treatment all to be able safely effectively to treat the pulmonary artery embolism.(4) the inferior vena cava filters prevention lower limb vein thrombus causes pulmonary artery embolism curative effect affirmation.