陈子丹, 毛翎, 闻军, 周韶炜, 刘敏琦, 袁弘蕾. 矽肺叁期、肺炎合并肺栓塞1例报告[J]. 职业卫生与应急救援, 2021, 39(4): 463-464, 471. DOI: 10.16369/j.oher.issn.1007-1326.2021.04.022
引用本文: 陈子丹, 毛翎, 闻军, 周韶炜, 刘敏琦, 袁弘蕾. 矽肺叁期、肺炎合并肺栓塞1例报告[J]. 职业卫生与应急救援, 2021, 39(4): 463-464, 471. DOI: 10.16369/j.oher.issn.1007-1326.2021.04.022
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CHEN Zidan, MAO Ling, WEN Jun, ZHOU Shaowei, LIU Minqi, YUAN Honglei. Report of a case with stage Ⅲ silicosis, pneumonia complicated with pulmonary embolism[J]. Occupational Health and Emergency Rescue, 2021, 39(4): 463-464, 471. DOI: 10.16369/j.oher.issn.1007-1326.2021.04.022
Citation: CHEN Zidan, MAO Ling, WEN Jun, ZHOU Shaowei, LIU Minqi, YUAN Honglei. Report of a case with stage Ⅲ silicosis, pneumonia complicated with pulmonary embolism[J]. Occupational Health and Emergency Rescue, 2021, 39(4): 463-464, 471. DOI: 10.16369/j.oher.issn.1007-1326.2021.04.022
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矽肺叁期、肺炎合并肺栓塞1例报告

Report of a case with stage Ⅲ silicosis, pneumonia complicated with pulmonary embolism

    摘要
  • 摘要:
      目的  分析尘肺病合并肺栓塞临床特点及诊治注意事项，降低误诊和漏诊率，改善患者预后。
      方法  分析一例62岁矽肺叁期、肺炎合并肺栓塞患者的临床表现、实验室结果、影像学表现及救治措施。
      结果  患者实验室检查血白细胞、D-二聚体、N端脑钠肽前体明显升高，心超示右心增大，双下肢血管彩超示右下肢静脉血栓形成，肺动脉CT血管造影示两上大阴影，双下肺感染可能，左下肺动脉分支栓塞，予抗凝、抗炎对症治疗后，患者症状明显改善。
      结论  须警惕老年、高期别尘肺病患者有合并肺栓塞的可能，及时确诊和治疗可降低患者死亡率，改善预后。

     

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