|本期目录/Table of Contents|

[1]刘 畅,曹小织.自发性肺血栓栓塞症的早期诊断及分析[J].医学研究与战创伤救治(原医学研究生学报),2014,16(06):605-607.[doi:10.3969/j.issn.1672-271X.2014.06.013]
　LIU Chang,CAO Xiao-zhi..The early diagnosis and analysis of the autonomous pulmonary thromboembolism[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2014,16(06):605-607.[doi:10.3969/j.issn.1672-271X.2014.06.013]
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自发性肺血栓栓塞症的早期诊断及分析()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第16卷
期数:
2014年06期
页码:
605-607
栏目:
出版日期:
2014-11-20

文章信息/Info

Title:
The early diagnosis and analysis of the autonomous pulmonary thromboembolism
作者:
刘 畅; 曹小织
350025 福建福州，南京军区福州总医院心血管内科
Author(s):
LIU Chang; CAO Xiao-zhi.
Department of Cardiology,Fuzhou General Hospital of Nanjing Military Command,Fuzhou，Fujian 350025，China
关键词:
肺血栓栓塞症; 自发性; 早期诊断
Keywords:
pulmonary thromboembolism;  autonomous;  early diagnosis
分类号:
R563.5
DOI:
10.3969/j.issn.1672-271X.2014.06.013
文献标志码:
A
摘要:
目的 探讨自发性肺血栓栓塞症的临床特征，提高对该病的认识。方法 回顾性分析南京军区福州总医院心血管内科2008年10月-2013年10月诊治的6例自发性肺血栓栓塞症 患者的临床资料，总结该病早期诊断的特点。结果 6例均无明显血栓形成的危险因素，通过CT肺动脉造影(CTPA)确诊。给予尿激酶溶栓治疗，10 d后复查CTPA，肺动脉血栓消失。 结论 自发性肺血栓栓塞症病因隐匿，临床表现不典型，早期诊断需要认真分析和综合判断，以免误诊漏诊。
Abstract:
Objective To investigate the clinic characters of the autonomous pulmonary thromboembolism to strengthen the understanding of this disease． Methods The clinical data of 6 patients with autonomous pulmonary thromboembolism diagnosed and treated in the department of cardiovascular of Fuzhou general hospital from October 2008 to October 2013 were retrospectively analyzed，and the features in the early diagnosis of this disease were summarized.Results None of any risk factor of thrombogenesis was found in the 6 cases.All the patients were diagnosed through the computed tomo-graphic pulmonary angiography (CTPA).After a 10-days thrombolytic therapy by urokinase,all the thrombus in the pulmonary artery disappeared in the CTPA reexaminations.Conclusion The pathogenesis of autonomous pulmonary thromboembolism is undetectable and the clinical manifestation is atypical.To avoid misdiagnosis and missed diagnosis this disease,careful analysis and comprehensive judgment is needed in the early diagnosis.

参考文献/References:

[1]王 辰．肺血栓栓塞症[M]//葛均波，徐永健．内科学．8版．北京:人民卫生出版社，2013:99，101．
[2]Raskob GE，Silverstein，R,Bratzler DW，et al．Surveillance for deep vein thrombosis and pulmonary embolism:recommendations from a national workshop[J]．Am J Prev Med，2010，38 (4 Suppl):502-509．
[3]Cushman M.Inherited risk factors for venous thrombosis[J]． Hematology Am Soc Hematol Educ Program，2005:452-457.
[4]王丰容，刘 双．青年急性肺血栓栓塞症患者远期预后随访及影响因素分析[J].中国全科医学，2013，16(1A):40-42．
[5]赵永强．遗传性易栓症研究概况[J].临床血液学杂志，2013，26(1):1-3．
[6]余孝君，李国良．中国汉族人群的遗传性活化蛋白C抵抗症遗传特点观察[J].湖南师范大学学报:医学版，2010，7(4):40-42．
[7]Scarbin PY，Plu-Bureau G，Bara L，et al．Haemostatic varibles and menopausal status:influence of hormone replacement therapy[J].Thromb Haemostas，1993， 70(4):584-587．
[8]Anders GH，Gorm J，Eva P，et al．Risk factors for venous thromboembolism:results from the Copenhagen City Heart Study[J].Circulation，2010，121(17):1896- 1903．
[9]Severinsen MT，Kristensen SR，Johnsen SP，et al．Smoking and venous thromboembolism:a danish follow-up study[J].Thromb Haemost，2009，7(8):1297-1303．
[10]Van Belle A，Buller HR，Huisman MV，et al．Effectiveness of managing suspected pulmonary embolism using an algorithm combining clinical probability，D－ dimer testing and computed tomography[J].JAMA，2006，295(2):172-179．
[11]De Monye W，Sanson BJ，Mac Gillavry MR,et al．Embolus location affects the sensitivity of a rapid qualitative D-dimer assay in the diagnosis of pulmonary embolism[J].Am J Respir Crit Care Med，2002，165(3):345-348．
[12]刘淑梅，仲 玲，苏万增．肺栓塞心电图特点分析[J].中西医结合心脑血管病杂志，2005，3(9):824．
[13]常 亮，申 浩，管 军，等．Ｂ型尿钠肽在急性肺栓塞早期病情诊断中的意义[J].中国实验诊断学，2013，17(6):1056-1058．
[14]刘素云，张瑞宁，祖秀光，等．肺栓塞症患者血浆脑钠肽变化及临床意义[J].河北医药，2010，32(13):1703-1704．

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更新日期/Last Update: 2014-11-20