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肺栓塞作为一常见的心血管疾病,由于缺乏特异的临床表现,容易误诊、误治。不经治疗的肺栓塞死亡率20%～30%,诊断明确并经过治疗者死亡率降至2%～8%,越来越多的资料显示我国肺栓塞发病率并不低,国内误诊率80%左右。大多数肺栓塞患者首先就诊于基层医院,面对严峻现实,须引起广大临床医师对肺栓塞诊断的高度重视,进一步减少肺栓塞的误诊和漏诊,最重要的是提高对肺栓塞的诊断意识。基层医院如何利用现有医疗手段,对肺栓塞进行筛选。通过收集我院1999年～2002年拟诊肺栓塞4例病人资料,拟探讨临床表现、发病,以提高对该病的诊治水平。
Pulmonary embolism as a common cardiovascular disease, due to the lack of specific clinical manifestations, easy to misdiagnosis, mistreatment. The mortality rate of untreated pulmonary embolism 20% to 30%, the diagnosis is clear and after treatment the mortality rate dropped to 2% to 8%, more and more data show that the incidence of pulmonary embolism is not low, the domestic misdiagnosis rate of 80 %about. Most of the patients with pulmonary embolism first visited the grassroots hospital. In the face of harsh reality, most clinicians should attach great importance to the diagnosis of pulmonary embolism and further reduce the misdiagnosis and misdiagnosis of pulmonary embolism. The most important is to raise the awareness of pulmonary embolism. How to use the existing medical institutions in primary hospitals to screen for pulmonary embolism. By collecting the data of 4 cases of pulmonary embolism diagnosed in our hospital from 1999 to 2002, we intend to explore the clinical manifestations and pathogenesis to improve the diagnosis and treatment of this disease.