The Retrospective Analysis Of Patients With Pulmonary Embolism

Objective:In order to improve the vigilance of the happening of the disease in clinical practice and reduce misdiagnosis, the author analyzing the characteristics of the risk factors, clinical presentations, auxiliary examinations and treatments of pulmonary embolism, make it possible that the patients of pulmonary embolism can be diagnose and treat as early as possible.Methods:By using the method of retrospectively analyzing, collecting the medical records of the pulmonary embolism patients in affiliated Hospital of Yanbian University during 2005-2015. Analyzing general information (Gender, Age. Treating department), risk factors, clinical presentation, auxiliary examination(D Dimer, Arterial blood gas analysis, Venous ultrasound, CTPA) and treatment (Thrombolysis, Anticoagulation) of pulmonary embolism. Dividing all statistics into two parts by the guidance of WHO. Finally, using SPSS18.0 to analyze it.Results:First,89 patients was enrolled, range from 60.2±3.7, of which 42 cases (47.2%) are males and 47 are females (52.8%), there is no significance in gender. It is accounted that 79 cases are acute pulmonary embolism (88.8%),10 cases are chronic pulmonary embolism (11.2%).73 patients have first diagnosis in respiratory medicine department (82%), only 16 patients have first diagnosis in orthopedic and other departments(18.0%). Second, in risk factors,43 patients presented with trauma, fractures, surgery and bedridden history accounted for 47.8%. Third, in clinical features,36 patients experienced cough at first (40.4%) and 39 patients(43.8%) patients presented with chest pain,47 patients have dyspnea (52.8%),11 patients have hemoptysis (12.4%),7 patients have syncope accounted for 7.8%, only 8 patients have the typical clinical presentation of chest pain, hemoptysis and dyspnea(8.9%).Fourth, in auxiliary examinations,67 cases have examination of vascular ultrasound, which can be seen 43 cases of venous thrombosis (64.2%),72 patients have D-dimer routine examination,69 patients were higher than the limitation, accounting for 95.8%,67 cases admitted CTPA examination confirmed the presence of PE accounted for 91.8%. Fifth, in other aspects, such as precious history,19 cases have a history of rheumatism, rheumatoid arthritis (21.3%),30 cases have a long-term smoking and drinking history (33.7%),37 cases have a history of cerebrovascular disease accounted for 41.6%,15 cases have previous varicose veins, venous thrombosis history accounted for 16.8%.Conclusion:The majority of pulmonary embolism patients are elderly, trauma, surgery, prolonged bed rest, oral contraceptive using, autoimune disease are all the risk factors of pulmonary embolism. There are various clinical manifestations of pulmonary embolism, and it is lack of specificity, syncope and abdominal pain can come into appearance as the first symptom. In diagnosis, D-dimer has an important significance.In current, CTPA is still the most important method among the examinations and can replace the pulmonary angiography. Anticoagulation is the most important means of Pulmonary embolism treating, it’s effect is sure.