成年人的肺血栓塞栓症:来自第三级护理中心的经验
Vikas Marwah1, Robin Choudhary2, Gaurav Bhati3
1Professor & Head (Pulmonary, Critical Care & Sleep Medicine), Army Institute of Cardio Thoracic Sciences (AICTS), Pune, India.
Medical journal, Armed Forces India
|December 30, 2024
概括
肺栓塞 (PE) 通常伴有呼吸障碍和咳. 风险因素包括COVID-19,高血压和吸烟,大多数患者使用抗凝药有效治疗.
科学领域:
- 心脏病学 心脏病学
- 肺部病理学 肺部病理学
- 血管医学 血管医学
背景情况:
- 静脉血栓塞栓症 (VTE),包括深静脉血栓症 (DVT) 和肺栓塞 (PE),是一个重大的健康问题.
- 了解PE的风险因素,临床表现和治疗对于患者的治疗结果至关重要.
研究的目的:
- 分析成人肺栓塞 (PE) 病例的风险因素,临床表现,诊断策略和管理方法.
- 评估PE患者在第三级护理中心接受治疗的结果.
主要方法:
- 进行了一项回顾性观察性研究.
- 在2019年1月至2020年9月期间连续承认的成年PE病例被纳入.
主要成果:
- 呼吸不全 (93.8%) 和咳 (79.2%) 是最常见的症状.
- 确定的主要危险因素包括COVID-19 (27%),高血压 (23%),吸烟 (64.6%),结核病 (16.7%).
- 计算机断层扫描肺血管造影 (CTPA) 在81%的病例中证实了诊断;低分子量肝素 (LMWH) 抗凝剂是主要治疗方法 (91%).
结论:
- 呼吸不良仍然是PE的主要症状,这与之前的研究一致.
- 诊断成像 (CTPA),临床怀疑和及时抗凝治疗的结合导致了有效的管理和积极的结果.
- 没有观察到住院死亡率,只有一个重大出血病例.
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