Clinical Analysis Of55Cases Of Patients With Acute Pulmonary Embolism

objective: To analysis the clinical data of55cases of patients with pulmonaryembolism through the retrospective. Discussing the risk factors of PTE, clinicalcharacteristics, treatment and prognosis, enhance the doctor’s awareness of pulmonaryembolism, improve the clinical diagnosis rate, reduce missed diagnosis rate andmisdiagnosis rate.Methods: Retrospective analyses the clinical data of55cases of pulmonary embolismfrom the Affiliated Hospital of Yan’an University. All patients are grouped by theelements of the study, and carries on statistics processing, obtains the result and thencarries analysis and discussion.Results: No obvious difference was found between PTE patients’ gender, mean age ofpatients was57.47±15.21years old. The elder, operation history, cardiovascular andcerebrovascular diseases, malignant tumor, COPD, history of venous thrombosis areimportant risk factors of PTE. The signs and symptoms of PTE lack specificity. Coughand chest pain are common symptom in this group of patients. Breathing>20times perminute is the most common symptom. The positive result of D-Dimer is important to thediagnosis of PTE. Currently CTPA can replace the pulmonary artery angiography in thediagnosis of PTE. Anticoagulation as the basic treatment of PTE, the effect is obvious.Conclusion: In this group the elder patients are in the majority, the more risk factors ofPTE. The positive result of D-Dimer is important to the diagnosis of PTE. CurrentlyCTPA can basically replace the pulmonary artery angiography, become an importantcheck method in the diagnose PTE. Anticoagulant treatment in patients with non-massivePTE effect is obvious.