Diagnosis and treatment of acute pulmonary embolism in primary care hospital
10.3760/cma.j.issn.1008-6706.2017.02.024
- VernacularTitle:基层医院急性肺血栓栓塞症诊治分析
- Author:
Meimiao LIU
;
Weixin TANG
;
Lanchun CHEN
;
Ziting QIU
;
Xuetao YU
;
Kaixiu HUO
- Keywords:
Thromnoembolism;
Anticoagulation;
Intervention
- From:
Chinese Journal of Primary Medicine and Pharmacy
2017;24(2):252-254
- CountryChina
- Language:Chinese
-
Abstract:
Objective To get the knowledge of the diagnosis and treatment of acute pulmonary embolism (APE)in primary hospital.Methods The clinical data of the patients diagnosed with APE were retrospectively reviewed.The patients were clarified into different risk-group by revised Geneva score and Wells score according to the clinical records.Results 17 patients were diagnosed with APE in this time slot,in which male 10 cases and female 7 cases,average age was (51.8 ±18.4)years old,and among them,4 cases with 4 scores of revised Geneva score,9 cases with 4 to 10 scores,4 cases with more than 11,6 cases with less than 4 Wells score,11 cases with more than 4,2 cases with low risk and 15 cases with intermediate risk.The length of hospital stay was (10.9 ±5.4)days in average.In this group,one patient was dead,seven cases improved,six cases remarkably improved and three cases were recued.Fourteen patients received anticoagulation agents and three cases without any.Eleven patients were given thrombolystic therapy,one case was operated and six cases were given interventional treatment.Conclusion Clinicians know APE and keep alert gradually.However,it should be improved in respects of treating and following the APE patients.
