| 摘要: |
| ［摘要］ 目的 在广西地区强化推广肺栓塞诊疗技术及其效果评价。方法 2008年底举办静脉血栓栓塞症诊疗技术专题学习班对广西地区13家医院呼吸内科医护人员、放射科和超声科医生进行肺栓塞流行病学、临床表现、诊断技术以及治疗规范进行集中培训，之后对各参与单位进行肺栓塞诊疗技术指导。比较培训之后2009～2011年与2005～2007年肺栓塞病例占呼吸内科同期住院病例比例、诊疗技术和住院期间病死率。结果 与2005～2007年比较，2009～2011年肺栓塞病例占同期呼吸内科住院病例比例显著增高［1.03%(604/58 530) vs 0.71%(273/38 581)］(P<0.001)，确诊病例占肺栓塞病例也显著提高［73.01%(441/604) vs 64.84%(177/273)］,P=0.014。CT肺动脉造影是2005～2007年及2009～2011年确诊肺栓塞主要技术（分别为95.69%和92.95%）。2009～2011年住院期间死于肺栓塞比例较2005～2007年显著下降［8.61%(52/604) vs 16.12%(44/273)］,P=0.017。结论 强化推广静脉血栓栓塞症诊疗技术有利于提高肺栓塞诊疗水平和改善患者预后。 |
| 关键词: 肺栓塞 诊断 CT肺动脉造影 预后 |
| DOI：10.3969/j.issn.1674-3806.2014.11.01 |
| 分类号:R 56 |
| 基金项目:广西医疗卫生重点科研课题（编号：重200802） |
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| Impact of training program on the diagnosis and prognosis of pulmonary embolism |
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QIN Zhi-qiang, CHEN Gui-rong, CHEN Xian-yuan, et al.
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Department of Respiratory Disease，the People′s Hospital of Guangxi Zhuang Autonomous Region，Nanning 530021，China
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| Abstract: |
| ［Abstract］ Objective To explore the impact of a training program for venous thromboembolism on the diagnosis and prognosis of pulmonary embolism(PE) in Guangxi.Methods Thirteen hospitals in Guangxi were included and the groups consisting of doctors and nurses of respiratory department, radiologists and sonologists from the hospitals were trained intensively in a class in late 2008. The training program included venous thromboembolism epidemiology, clinical manifestation, diagnosis and management. After that, the trainers guided the trainees through internet, telephone or at present. The training effect were evaluated by comparison of PE cases, diagnostic techniques and hospital mortality between 2005～2007 and 2009～2011.Results Comparing with 2005～2007, PE incidence in respiratory hospitalizations raised significantly from 2009 to 2011［1.03%(604/58 530) vs 0.71%(273/38 581), P<0.001］ and proportion of definite PE cases to all PE also increased significantly［73.01%(441/604) vs 64.84%(177/273), P=0.014］. CT pulmonary angiography was the key diagnostic technique in both two periods(95.69% among 2005～2007 and 92.95% among 2009～2011). The hospital mortality in 2005～2007 and 2009～2011 were 16.12%(44/273) and 8.61%(52/604), respectively(P=0.017).Conclusion Training program of venous thromboembolism improves the level of diagnosis and prognosis of PE. |
| Key words: Pulmonary embolism(PE) Diagnosis CT pulmonary angiography Prognosis |
