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題 名 | Retrospective Analysis of 196 Patients with Suspected Pulmonary Thromboembolism=196例疑似肺血栓栓塞症患者的臨床徵候、胸部X光攝影結果、肺造影發現及栓塞溶解之回溯性分析 |
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作 者 | 程紹智; 黃文盛; 楊世平; 賴文源; 王昱豐; | 書刊名 | 中華醫學雜誌 |
卷 期 | 62:8 1999.08[民88.08] |
頁 次 | 頁536-543 |
分類號 | 415.46 |
關鍵詞 | 胸部X光攝影; 臨床徵候; 肺造影; 肺血栓栓塞; 溶解; Chest radiography; Clinical symptoms and signs; Lung scan; Pulmonary thromboembolism; |
語 文 | 英文(English) |
英文摘要 | BACKGROUND: There has not been a statistical analysis reporting on patients with pulmonary thromboembolism (PE) in Taiwan. To identify the most common manifestations in patients with PE in Taiwan, we conducted this retrospective study. METHODS: We collected and analyzed the medical records of 196 patients (53 men, mean age, 60 years; 143 women, mean age, 46 years) whose clinical symptoms and signs, chest radiographs and lung scan findings were suggestive of PE. Conventional chest radiography was performed 24 hours to 48 hours before lung scans. The radiopharmaceuticals used in lung scans were 133Xenon for ventilation studies and 99mTechnetium macroaggregated albumin for perfusion studies. All patients had received anticoagulant therapy (heparin and coumadin) to improve PE. RESULTS: The two most common symptoms and signs of PE in the 196 patients were dyspnea (172/196, 87.8%) and tachypnea (176/196, 89.8%). The most common abnormal finding on chest radiography was increased lung markings, which were present in about 36.7% (72/196) of patients. Lung scans showed two or more, large, mismatched, segmental defects (high probability of PE) in both lungs in about 88.8% (174/196) of patients. After anticoagulant therapy, PE, as seen on lung scans, was resolved within four weeks in approximately 93.9% (184/196) of patients. CONCLUSIONS: In Taiwan, a woman aged 40 to 50 years, with no prior history of other medical problems or surgical procedures, with sudden onset of dyspnea or tachypnea, normal or increased lung markings on chest radiography and two or more large mismatched segmental defects on lung scans, is at greatest risk of developing PE. Most patients with PE showed a good response to anticoagulant therapy within four weeks. |
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