Sunday, October 7, 2012

Old pulmonary embolism and symptom and _ symptom

Old pulmonary embolism and symptom and _ symptom
Physical sign of symptomThere is no specificity in the clinical manifestation of PE, in the old patient, breathe rapid (respiratory rate> 16min) , the pleurisy chest aches, most common symptom and physical sign that the tachycardia is, in belonging to a patient alone or and exist. The artery number that pulmonary embolism is given much trouble, thromboembolism intensity, cause the lung to organize necrosis to determine the patient's symptom. Change and chase and is shown as dyspnea, chest ache the chest only 20% of the old age. If have difficulty in breathing and does not exist, pulmonary embolism is difficult to establish to diagnose. If the patient exists and faints when being shown as and extremely had difficulty in breathing or shock, pointing out more bulk PEs has no existence which causes infarction of lung. About 33% of the old patients have pleuras to ooze out, is usually unilateral. About 67% Ooze out liquid courageous and upright ( Count the erythrocyte> 100000 /ml) Must distinguish with cancer and wound. However, the clinical manifestation of much old pulmonary embolism patients is non- specific symptom, including lasting low-heat, state change of spirit, there is not respiratory tract symptom or the similar airway infection may cause the elderly PE to misdiagnose, leak the examining rate to reflection often obtuseness and misunderstanding to symptom of symptom high to displays the elderly Reason. DVT and PE are in close relations, the proximal DVT patients of about 50% can suffer from PE but not have clinical symptom, about 80% can't diagnose in time because of lacking the symptom. So, ache etc. and should also do the relevant inspection to should pay close attention to to the swelling of lower extremities, shank, this is an important clue of diagnosing DVT and PE.
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