Objective Pulmonary thromboembolism ( PTE) is associated with various risk factors which existed in multidisciplinary patients. It is necessary to know what the role of pulmonologists in the diagnosis of PTE. Methods Data were collected from thirteen general hospitals in Guangxi. Hospital records of PTE cases from1995 to 2007 were retrospectively analyzed. The rates of PTE to inpatients between the respiratory departments and other departments or between different periods were compared. Results The rates of PTE of inpatients in respiratory departments ( 1. 55‰, 170/109 577) was higher than that in other departments ( 0. 03‰, 69/2 322 944) , P lt; 0. 001. Compared to that of 1995-2001, the rate of PTE of inpatients in the respiratory departments in the last 6 years increased by 3220. 22% [ ( 2. 43‰,167/68 638) vs ( 0. 07‰, 3 /40 939) ] . During 1995-2001 and 2002-2007, the rates of PTE of inpatients in the respiratory departments were higher than those in other departments [ 0. 004‰ ( 4/1 012 830) during 1995-2001 and 0. 05‰( 65 /1 310 114) during 2002-2007, respectively] , P lt; 0. 01. Conclusion pulmonologists play an important role in the diagnosis of PTE in the recent years.
Citation：
QIN Zhiqiang,CHEN Xianyuan,GAO Xinghua,LIU Wei,ZHENG Li,GAO Feng,ZHONG Wei,DENG Jianing,ZENGTonghua,LIU Xueguan,YANG Jie,WANG Feng,LUO Weigui,LONG Shengze.. Pulmonologists Play an Important Role in the Diagnosis of Pulmonary Thromboembolism. Chinese Journal of Respiratory and Critical Care Medicine, 2009, 09(5): 461-464. doi:
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Dalen JE. Pulmonary Embolism: What have we learned since Virchow? natural history, pathophysiology, and diagnosis. Chest, 2002, 122: 1440-1456.
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徐喜媛, 杨敬平, 孙德俊. 及时诊断和规范化治疗对肺血栓栓塞症疗效的影响. 中国呼吸与危重监护杂志, 2004, 3: 320-321.
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- 1. 肇冬梅, 章志丹, 朱然, 等. 住院肺血栓栓塞症患者32 年临床流行病学分析. 中国呼吸与危重监护杂志, 2006, 5: 345-348.
- 2. Tan XY, He JG, Zou ZP, et al. Changes of the proportion and mortality of pulmonary thromboembolism in hospitalized patients from 1974 to 2005 . Chin Med J, 2006 , 119: 998-1002.
- 3. Stein PD, Henry JW. Prevalence of acute pulmonary embolism among patients in a general hospital and at autopsy. Chest, 1995 , 108: 978-981.
- 4. 中华医学会呼吸病分会. 肺血栓栓塞症的诊断与治疗指南( 草案) . 中华结核和呼吸杂志, 2001, 24: 259-264.
- 5. 唐华平, 韩伟, 李双保, 等. 临床量表在急性肺血栓栓塞症诊断中的应用. 中国呼吸与危重监护杂志, 2007, 6: 364-368.
- 6. 秦志强, 龙胜泽, 陆爱玲, 等. 《肺血栓栓塞症的诊断与治疗指南》对我院肺血栓栓塞症诊断和临床结果的影响. 国际呼吸医学杂志, 2009, 29: 346-348.
- 7. Stein PD, Fowler SE, Goodman LR, et al. Multidetector Computed Tomography for Acute Pulmonary Embolism. N Engl J Med, 2006 , 354: 2317-2327.
- 8. Jouveshomme S, Bohn I, Cazaban A. Diagnosis of pulmonary embolism in hospitalised patients: retrospective survey of an institutional standard. Eur Respir J, 2007, 30: 1117-1123.
- 9. Miniati M, Bottai M, Monti S, et al. Simple and Accurate Prediction of the Clinical Probability of Pulmonary Embolism. AmJ Respir Crit Care Med, 2008, 178: 290-294.
- 10. Weiss CR, Scatarige JC, Diette GB, et al. CT Pulmonary Angiography is the First-Line Imaging Test for Acute Pulmonary Embolism: A Survey of US Clinicians. Acad Radiol, 2006, 13: 434 - 446.
- 11. Dalen JE. Pulmonary Embolism: What have we learned since Virchow? natural history, pathophysiology, and diagnosis. Chest, 2002, 122: 1440-1456.
- 12. 徐喜媛, 杨敬平, 孙德俊. 及时诊断和规范化治疗对肺血栓栓塞症疗效的影响. 中国呼吸与危重监护杂志, 2004, 3: 320-321.
