[Clinical analysis of 252 patients with pulmonary thromboembolism].
Zhongguo Wei Zhong Bing Ji Jiu Yi Xue
; 24(7): 398-401, 2012 Jul.
Article
en Zh
| MEDLINE
| ID: mdl-22748454
ABSTRACT
OBJECTIVE:
To improve the capability of diagnosing and treating for pulmonary thromboembolism (PE) by analyzing the characteristics of PE.METHODS:
Retrospective analysis was performed among 252 patients with PE, diagnosed by CT pulmonary angiography (CTPA) without medical history of serious cardiopulmonary disease. And the before-after comparisons in echocardiography cardiovascular parameters and pulmonary artery Qanadli embolism index (PAQI) were launched within 32 patients who finished 3 months follow-up visiting.RESULTS:
In 252 patients with final diagnosis of PE, smoking was the most important risk factor, accounted for 44.84%. Dyspnea was the main symptom in patients with PE (84.13%). PE often occurred in the elderly [64.00 (19.75) years old]. Hypotension, shortness of breath and tachycardia were always observed when circulatory collapsed. It could not be excluded for PE when D-dimmer was less than 5000 mg/L. In 32 patients rechecked 3 months after treatment, PAQI was significantly decreased compared with that before treatment [0.05 (0.18) vs. 0.39 (0.44), P < 0.01], but there were no significant differences in cardiovascular parameters before and after treatment.CONCLUSIONS:
The clinical manifestations of PE are variable, it could be considered when the elder or smoker were suffered with dyspnea. After 3 months of anticoagulant therapy, cardiac morphology induced by PE didn't get demonstrate improvement.
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Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Embolia Pulmonar
Tipo de estudio:
Observational_studies
/
Risk_factors_studies
Límite:
Adolescent
/
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
Zh
Revista:
Zhongguo Wei Zhong Bing Ji Jiu Yi Xue
Asunto de la revista:
MEDICINA DE EMERGENCIA
/
TERAPIA INTENSIVA
Año:
2012
Tipo del documento:
Article
País de afiliación:
China