关键词: 结核,肺/并发症, 肺栓塞

Abstract: Objective To report the experience and to analyze current problems in the diagnosis and treatment of pulmonary embolism(PE) in patients with pulmonary tuberculosis.Methods We diagnosed and treated 5 patients with pulmonary embolism(4 male and 1 female,mean age 48 years old) from June 2003 to June 2006.Symptoms included cough,fever,suffocation,chest pain,palpitation,coma etc.physical signs included tachypnea,tachycardia.We utilized spiral CT pulmonary artery angiography(SCTPA) and Doppler echocardiography to judge PE.Because the chance of thrombolysis has been lost,the anticoagulating therapy was uesed in 5 cases.One of the cases was performed a surgical operation.Results 4 patients recovered with no complication,1 patient died from no using anticoagulant after two years.Conclusion PE is related to the pulmonary tuberculosis.The examination for PE is necessary in patients with pulmonary tuberculosis.The anticoagulating therapy is safe and effective to the patients with pulmonary tuberculosis complicated with PE.

Key words: Pulmonary embolism, Pulmonary tuberculosis, Complications