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ID:32247995
大小:3.03 MB
页数:51页
时间:2019-02-02
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1、新疆医科大学硕士学位论文AnalysisoftheriskfactorsandclinicalcharacteristicsofPulmonarythromboembolismPostgraduate:XiQinmeiSupevisor:Prof.AiLiman.mahemutiObjective:ToanalyzetheriskfactorsandclinicalcharacteristicsandtodiscusssicknesssituationandthedifferencesbetweenhanandUighurinriskfactorsofPTEhos
2、pitalizationpatientinourhospitalinrecent7years,summarizingtheexperience,reducingmisdiagnosis,furtherimprovingitsearlydiagnosisrate.Methods:Adoptretrospectivestudymethod,toanalyze586patientsHospitalizedduringthe7yearsratesofmedicalmaterialcompletethePTEpatientclinicaldatafrom2004to2010
3、inXinjiangmedicaluniversityfirstaffiliatedhospital.Results:It’srisinginthenumberofPTEhospitalizationpatientinrecent4years.Theonsetpeakageofthemalepatientsformorethan70yearsoldandfor60to69yearsoldoffemalepatients.Thereisabout10yearsearlierintheonsetpeakageinfemalePTEpatientthaninmale.T
4、heonsetpeakageoftheHanpatientsformorethan70yearsoldandfor60to69yearsoldofUighurpatients.Thereisabout10yearsearlierintheonsetpeakageinUighurPTEpatientthaninHan.586PTEpatientinvolving360Hanpatients(61.43%)whichaverageageis61.70±15.61yearsoldand226minoritynationalpatients(38.57%)andinwhi
5、chUighuris156accountsfor58.65%(averageage53.98±15.07yearsold).Thedistributionofthefirstdepartmentthatthepatientschooseisrespiratorydepartment296cases(50.57%)andheartmedicinedepartment79cases(13.51%).Age≥40yearsold,obesity,embolismhistoryandhyperlipidemiaarefourmostcommonacquiredriskfa
6、ctorsandbasicdiseases.ObesityisthemainlyriskfactorsinUighurandsmokinganddrinkingaremainlyriskfactorsinHanpeople.ThemostcommonsymptomsofPTEaredifficultybreathing,asthma,coughandchestpainandthemostcommonclinicalsignsarepleuraleffusion,shortnessofbreath,thelungssound,lowerlimbswellingand
7、reducedbreathsounds.35.84%PTEpatientscombinedwithdeepveinthrombosis(DVT)andinwhich12.93%patientasPTEasstartingsymptoms.Conclutions:ThePTEdiagnosticlevelobviouslyimprovedinourhospitalinrecentyears.TheincidenceofPTEofUighurishigherthanthatinotherminority.TheonsetageofPTEofUygurisearlier
8、thant
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