The intersection of staff reporter and good the intersection of reporter and Wu YuHua Tan In medical textbook more than ten years ago, pulmonary embolism disease lead one rarely as one only still. Now, " pulmonary embolism is disease that a kind of common disease, frequently-occurring disease and danger are serious " Have already become the common understanding of the medical circle. Research project team led by subsidiary Beijing Chaoyang hospital Professor Wang Chen of Capital University of Medical Sciences and cardiovascular disease hospital Professor Cheng XianSheng outside the mound of Chinese Academy of Medical Sciences,etc., it is exactly pulmonary embolism " Rectify name " Experience personally and witness person. Through untiring efforts of decades such as them, domestic hospital pulmonary embolism make a diagnosis and give treatment the example is counted and increased notably in recent years, some hospitals diagnose every year the case of pulmonary embolism is counted and risen to several hundred from one or two, pulmonary embolism patient's case fatality rate drops from 24% to 9% in hospital. The relevant scientific findings of project team win the second prize of National Prize for Progress in Science and Technology of 2008. The lung is one " The child who will not cry " Pulmonary embolism make a diagnosis and give treatment consciousness demand urgently, improve time Wang, say lower extremities once dark intravenous thrombus loss, will enter the lung artery with the blood circulation, will lead to the fact pulmonary embolism happens, this is the main reason that pulmonary embolism happen. For define clinical situation of having illness coming on, project team in hospital to the intersection of brain and apoplexy patient, the intersection of ICU and the intersection of patient,etc. and different crowd carry on dark morbidity of phlebothrombosis investigate, the investigation result reveals the morbidity of deep phlebothrombosis of our country is not lower than that of foreign countries. A frequently-occurring disease in fact, why leave the impression of the disease rarely on somebody? Wang Chen says, the main reason is that detection rate of pulmonary embolism, finding rate are too low, the leaking, misdiagnosing rate is up to 80%-90%. Symptom of pulmonary embolism lacks the specificity. "It is a characteristic of pulmonary embolism without characteristic. " Wang Chen says, ten points of " conceal " of morbidity of pulmonary embolism ,Very easy other cardiovascular disease obscure, many patient might have obviously uncomfortable to faint faint, shock suddenly have illness coming on, the doctor is very easy to misdiagnose, leak and examine. On the other hand, " disguise " having illness coming on because of pulmonary embolism ,The patient is difficult to go to a doctor in time. As the saying goes, the child who will cry has milk to eat, but the lung is a " child who will not cry " . The heart is ischemic slightly, the feeling that it is uncomfortable in chest that people have at once, the chest aches, will make a diagnosis and give treatment in time immediately. And even lung blood vessel presents thromboembolism of large area, the patient may not have obvious symptoms, but there is not symptom that does not mean the condition is not serious, pulmonary embolism of large area is very apt to result in fainting, shock, even die suddenly. The case fatality rate of pulmonary embolism is the same as myocardium infarction, the serious disease pulmonary embolism patient, like not treating and curing in time, mortality is about 30%. "Consider carefully, what a bloody figure this is. " In order to improve diagnosis consciousness and competence of making a diagnosis to pulmonary embolism of medical circle of our country fundamentally, the project team holds pulmonary embolism academic meeting, thematic lecture and more than one hundred times of study class actively, upgrade idea of medical worker, raise level of understanding in pulmonary embolism, train student exceed people Wan. The project team still unites 205 hospitals in the whole country and establishes and cooperates the group, carry on the technological cooperation and tackle key problems, form national pulmonary embolism and prevent and cure the network effectively, cultivate the whole country and a plurality of regional pulmonary embolism standardizations and make a diagnosis in the demonstration training center. At the beginning of what the project is started, someone is afraid too whether there can be so many pulmonary embolism patients. And when the project is summarized, a doctor coming from group's hospital of some cooperation of Shanxi says with deep feeling: "After you have diagnosed pulmonary embolism of first, you will find there are more and more pulmonary embolism patients. " "In the differential diagnosis of the condition, will consider at first whether it is will be pulmonary embolism or not. " Breathe and thank wooden doctor Wan for saying with the medical department of critical disease after participating in Beijing Chaoyang hospital that this subject studies. Make the first " guide of making a diagnosis to pulmonary embolism " of our country The healing solution is suitable for the national conditions Except exist to the morbidity of pulmonary embolism for a long time " Misunderstand " Outside, our country lacks the norm to the making a diagnosis and giving treatment of pulmonary embolism too. For example some doctors make a diagnosis and give treatment pulmonary embolism will use and dissolve the bolt treatment soon, or use the anticoagulatory medicine, but the dosage is not up to standard of, difficult in order to treat effectively in time. For this reason, project team make first of our country on 2001 <
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