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The Retrospective Clinical Analysis Of In-patients Of Pulmoanry Embolism Through 10 Years

Posted on:2008-02-21Degree:MasterType:Thesis
Country:ChinaCandidate:Y GuFull Text:PDF
GTID:2144360215989309Subject:Surgery
Abstract/Summary:PDF Full Text Request
ObjectiveThrough to for 10 year pulmonary embolism retrospectiveanalysis, understanding pulmonary embolism patient's time, age, sex distribution, aswell as clinical manifestation, symptom and laboratory inspection, diagnosis andtreatment situation. The summary experience, enhances to the understanding whichshould get sick.MethodThe retrospective analyzes in the Tianjin first central hospital for 10 years thealtogether 68 example pulmonary embolism patient's clinical material. Analyzes 68example pulmonary embolism patient in 1995~1999 years, in 2000~2004 year twotime section common material, the clinical manifestation, the laboratory inspection,the phantom study inspection and the treatment extension turn over to the situation.Then acts according to each research essential factor grouping to compile and to carryon statistics analysis, obtains the result, carries on the analysis proof.ResultIn entire group pulmonary embolism patient masculine 32 examples,feminine patient 36 examples. Average age 51.28±12.33. Two time sections comparethe diseased population to assume the trend of escalation, Two time sections comparethe diseased population to assume the trend of escalation, In two time sections thepatient age distribution has statistics difference (P<0.05), the morbidity agedistribution assumes the trend of escalation. The lower limb deep vein thrombus, thesurgical operation and the heart illness are the pulmonary, embolism primarydangerous factors, the dangerous factor constitution compared to has statisticsdifference in two time sections (P<0.05), the lower limb deep vein thrombus occupies the proportion obvious markup. The pulmonary embolism patient's clinicalmanifestation and the symptom have the non-specificity, the breath difficulty, thecough and chest pain are the main clinical manifestations. Through the artery couragevigor analysis, the electrocardiogram, the chest X inspection cannot diagnose thepulmonary embolism purely. Has when the high-risk factor patient and has thesuspicious pulmonary embolism clinical manifestation, the D- dimer inspection andthe supersonic heart movement inspection can for the pulmonary embolism diagnosisprovide the powerful evidence. The lung ventilation/irrigation nuclein scanning andthe lung CT blood vessel image formation took further inspects the method to be ableto be clear about the diagnosis pulmonary embolism .The pulmonary arteryangiography still was the pulmonary embolism diagnosis "the golden standard". Theantifreeze and dissolves the hitch is the pulmonary embolism main method oftreatment. The pulmonary embolism patient treatment result compares through twotime sections in occurs improves obviously (P<0.05). In the entire group patientsaccepts the pure antifreeze to treat and prevents c lotting the merge to dissolve thecomparison which the hitch treats not to discover statistics difference o...
Keywords/Search Tags:Pulmonary embolism, Pulmonary thromboembolism, Examination, Diagnosis, Treatment
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