肺梗塞诊疗新进展
【摘要】肺梗塞是肺栓塞后因血流阻断而引起的肺组织坏死，引起肺栓塞的常见栓子是深静脉血栓，发病急剧，病情危重，具有较高的死亡率。由于该病临床表现较为复杂，故易被误诊为胸膜炎、肺炎、肺水肿等，故临床上应准确诊断并积极治疗。目前，常见无创诊断手段主要包括X线胸片、心电图、心脏超声、血气分析、CT肺血管造影等，而行抗凝、溶栓等治疗，可实现治愈目的。临床医师在选择最佳诊疗方案时，应视患者的实际情况而定，对患者的不同要求，应择取适宜的检查与治疗方法，积极改善其预后，保证其生存质量笔者主要立足于肺梗塞诊疗角度，深入探究其新进展，旨在指导临床诊断与治疗。
【关键词】肺梗塞；诊断；治疗；新进展
【中图分类号】R543.2 【文献标识码】B
【Abstract】Pulmonary infarction belongs to one of the major diseases of cardiovascular system， is based on pulmonary embolism caused by vascular occlusion， lung tissue induced necrosis， and ultimately the formation of deep vein thrombosis， rapid onset， severity of disease， with higher mortality. Because the clinical manifestation of the disease is complex， so it is easy to be misdiagnosed as pleurisy， pneumonia， pulmonary edema， the clinical diagnosis and active treatment should be accurate. At present， the common noninvasive diagnostic method mainly include chest X-ray， electrocardiogram， echocardiography， blood gas analysis， CT pulmonary angiography， and anticoagulation， thrombolysis treatment， can achieve the purpose of cure. Clinicians in the selection of the best diagnosis and treatment plan， the actual situation should be considered in patients with depending on different requirements， patient， should check and treatment method of selecting suitable， actively improve the prognosis， guarantee the quality of life of the author is mainly based on the perspective of diagnosis and treatment of pulmonary infarction， explore the new progress， to guid...
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