发热伴阵发性呼吸困难——感染继发肺栓塞4例临床治疗观察并文献复习

为总结感染继发肺栓塞的临床特点和处理,回顾性分析4例感染继发肺栓塞患者的诊治经过。结果4例患者在强力有效抗感染治疗基础上溶栓并序贯抗凝治疗后均获得康复。提示有明确肺梗塞病灶及明显低氧血症存在的感染继发肺栓塞患者,在充分抗感染治疗基础上进行抗凝治疗的同时,必要时可以慎重溶栓治疗。

Fever and Paroxysmal Dyspnea--Review of Clinical Treatment and Records of 4 Cases of Pulmonary Embolism Secondary to Infection

To conclude the clinical characteristics and treatment of pulmonary embolism secondary to infection, we reviewed and analyzed the treatment processes of four cases of pulmonary embolism secondary to infection. These patients all recovered after throm- bolysis and sequential anticoagulant therapy based on strong and effective anti--infective therapy. For cases of pulmonary embolism secondary to infection with definite focus of pulmonary infarction and obvious hypoxemia, together with anticoagulant therapy based on sufficient anti--infective therapy, careful thrombolysis should be considered if necessary.