摘要
目的分析超声在急性肺血栓栓塞症(pulmonary thromboembolism,PTE)危险分层中的应用意义。方法回顾性分析收治的127例急性PTE患者的临床资料,按栓塞面积分为高危组24例、中危组49例、低危组54例,比较3组经胸心脏超声检测指标、心尖四腔心切面舒张末期内径(RVID)、右心室横径/左心室横径(RVTD/LVTD)、舒张末期右心室前后径/左心室前后径(RVD/LVD)、舒张期右心室壁运动幅度(RVAWM)、三尖瓣反流压差(TRPG)及下肢静脉超声检测结果。结果 3组RVID、RVTD/LVTD、RVD/LVD及TRPG比较差异有统计学意义(P <0. 05),且高危组上述指标高于中危组和低危组,中危组高于低危组(P <0. 05)。3组合并下肢深静脉血栓发生率及受累静脉比例比较差异无统计学意义(P>0. 05)。结论超声用于急性PTE危险分层具重要预测价值。
Objective To analyze value of ultrasound in application of risk stratification of patients with acute pulmonary thromboembolism(PTE).Methods Clinical data of 127 patients with acute PTE was retrospectively analyzed,and the patients were divided into high-risk group(n=24),moderate-risk group(n=49)and low-risk group(n=54)according to embolization areas.Results There were statistically significant differences in values of apical four-chamber end internal dimension,RVTD/LVTD,RVAD/LVAD and TRPG among three groups(P<0.05),and the above values in high-risk group were significantly higher than those in moderate-risk and low-risk groups,while the above values in moderate-risk group were significantly higher than those in low-risk group(P<0.05).There were no significant differences in incidence rate of combined with deep vein thrombosis of lower limb and ratio of affected veins among three groups(P>0.05).Conclusion Ultrasound is of great value in forecasting of risk stratification of patients with acute PTE.
作者
王旬
刘雨杭
马亚宁
WANG Xun;LIU Yu-hang;MA Ya-ning(Department of Function,Central Hospital of Ankang,Ankang,Shaanxi 725000,China;CT Room,Central Hospital of Ankang,Ankang,Shaanxi 725000,China;Department of Ultrasound,Ankang Hospital of Traditional Chinese Medicine,Ankang,Shaanxi 725000,China)
出处
《解放军医药杂志》
CAS
2019年第1期100-102,106,共4页
Medical & Pharmaceutical Journal of Chinese People’s Liberation Army
基金
陕西省卫生厅基金项目(2015H25)
关键词
超声检查
肺栓塞
危险分层
预测
Ultrasonography
Pulmonary embolism
Risk stratification
Forecasting
