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[急性肺动脉栓塞的诊断]

[Diagnosis of acute pulmonary artery embolism].

作者信息

Martsinkiavichius A M, Paliushchinskaia N A, Kosinskas E B, Sirvidis V M, Liepaĭte L P

出版信息

Kardiologiia. 1980 Feb;20(2):13-6.

PMID:7359808
Abstract

The clinical picture and the electrocardiographic and rheopneumographic findings were compared with the data obtained during operation or angiopneumography in 31 patients with embolism of the pulmonary artery. In massive embolism of the pulmonary artery, the dominating clinical symptoms were sudden dyspnea, tachycardia and cyanosis. Collapse and cardiac arrest were encountered in most patients. Moderate embolism is characterized by advancing dyspnea but cyanosis and tachycardia are inconsistant symptoms. The results of electrocardiography and rheopneumography are in correlation with the data obtained in catheterization of the heart, angiopneumography and during embolectomy.

摘要

将31例肺动脉栓塞患者的临床表现、心电图及呼吸流变学检查结果与手术或血管造影时获得的数据进行了比较。在大面积肺动脉栓塞中,主要临床症状为突发呼吸困难、心动过速和发绀。大多数患者出现虚脱和心脏骤停。中度栓塞的特征是进行性呼吸困难,但发绀和心动过速症状不一致。心电图和呼吸流变学检查结果与心脏导管检查、血管造影及栓子切除术时获得的数据相关。

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