复杂问题的简单征兆

IF 0.2 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS
Bilal Ahmad, Hafiz-ur- Rehman, Umar Badshah
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引用次数: 0

摘要

目的寻找床旁诊断肺栓塞的简单临床表现。 研究方法:这是一项基于医院的横断面观察研究,于 2019 年 7 月至 2020 年 12 月在赛都教学医院心内科进行。共纳入 89 名疑似肺栓塞(PE)患者,不分性别和年龄。在获得所有这些患者的临床数据和基本检查结果后,根据 ESC 诊断算法将患者分为低、中、高概率组。74名中高概率患者接受了CTPA检查,15名低概率患者被排除在研究之外。67 名患者经 CTPA 证实患有肺栓塞。对这 67 名患者的临床数据进行了分析,以了解最常见的症状和体征。 结果67名确诊肺栓塞患者中,58.2%为男性,41.8%为女性。研究对象的平均年龄为 53.15+/-16.29。患者来自马拉坎德省的不同地区。95.5%的患者表现为新发呼吸困难,1.5%表现为孤立性胸痛,3%表现为其他症状。62.7%的患者为诱发性 PE,37.3%的患者为非诱发性 PE。研究人群的平均心率为 99.63。95%的患者血氧饱和度低于96%。其他常见检查结果包括胸部检查正常、心电图显示窦性心动过速、胸部 X 光检查正常、回声检查显示某种形式的右心室异常。 结论新发呼吸困难、静息时心动过速、静息或轻度劳累时血氧饱和度低于 95%,且无其他原因的患者应通过 CTPA 评估肺栓塞。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Simple Signs for Complex Problem
Objectives: To find simple clinical signs for diagnosing pulmonary embolism on bedside. Methodology: This was a hospital based cross sectional observational study conducted in cardiology department Saidu teaching hospital from July 2019 to December 2020. 89 patients of either sex and all age groups with suspected pulmonary embolism (PE) were included. Clinical data and basic tests of all these patients were obtained, then according to ESC diagnostic algorithm patients were divided into low, intermediate and high probability groups. 74 patients with intermediate and high probability went for CTPA, while 15 patients with low probability were exclude from study. In 67 patients pulmonary embolism was confirmed on CTPA. Clinical data of these 67 patients was analyzed for most common presenting symptoms and signs. Results: Data was available on 67 patients with confirmed PE, 58.2% were male and 41.8% were female. Mean age of study population was 53.15+/-16.29. Patients from different parts of Malakand division were included. 95.5 % patient presented with new onset dyspnea, 1.5 % presented with isolated chest pain, while 3% presented with other symptoms. 62.7 % patient had provoked and 37.3% had unprovoked PE. Mean heart rate of study population was 99.63. 95% patients had oxygen saturation of less than 96%. Other common findings included normal chest examination, sinus tachycardia on ECG, normal chest X-ray, and some form of right ventricular abnormality on Echo. Conclusion: Patient with new onset Dyspnea, resting Tachycardia, oxygen saturation below 95% at rest or mild exertion, and no other explanation for these findings should be evaluated for pulmonary embolism with CTPA.
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来源期刊
Pakistan Heart Journal
Pakistan Heart Journal CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
0.20
自引率
0.00%
发文量
64
审稿时长
6 weeks
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