小儿肺栓塞

来源 :国外医学(儿科学分册) | 被引量 : 0次 | 上传用户:litianjin
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肺栓塞临床上并不少见,但很易漏诊,生前能作出诊断者仅1~2%。Coon分析4,600 ??例尸检病人,12.3%有肺动脉栓塞,生前确诊亦仅9.3%。小儿肺栓塞自1861年Loschner首次报告以来,已逾百年,肺栓塞的准确发病率仍不清楚。有报导占尸检儿童的1.25~4.2%,Sanerkin氏等报导一组330例新生儿尸检,肺栓塞占14%。若仔细检查,肺栓塞可占栓塞病人总数的10%,但仅有半数病人出现症状,能做出诊断的仅占有症状病人的1/3。虽然绝大多数肺栓塞是可以治疗的,但实际获 Pulmonary embolism is not uncommon in clinical practice, but it is very easy to misdiagnose. Only 1% to 2% of patients can be diagnosed before their death. Coon analyzed 4,600 cases of autopsy patients, 12.3% had pulmonary embolism, before diagnosis was only 9.3%. Pediatric pulmonary embolism Since the first report of Loschner in 1861, it has been more than a century since the exact incidence of pulmonary embolism remains unclear. Reportedly accounted for 1.25 to 4.2% of autopsy children, Sanerkin et al reported a group of 330 neonatal autopsy, pulmonary embolism accounted for 14%. If carefully examined, pulmonary embolism can account for 10% of the total number of embolized patients, but only half of the patients have symptoms that can make a diagnosis of only one third of symptomatic patients. Although most pulmonary embolism is treatable, it is actually achieved
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