摘要
目的分析老年肺栓塞的临床特征。方法通过回顾性分析对63例老年肺栓塞和60例非老年肺栓塞患者的危险因素、临床表现、诊断方法进行对比。结果老年肺栓塞的危险因素为下肢静脉血栓、制动和恶性肿瘤。呼吸困难是两组患者最常见的症状。两组患者咯血、胸痛、晕厥的发生率间差异均有显著性意义(P<0·05);老年组患者D-二聚体水平明显高于非老年组(P<0·05),老年组同时累及右肺动脉主支或左肺动脉主支者与非老年组比较差异无显著性意义(P>0·05)。结论老年肺栓塞患者临床表现不典型,需提高诊断意识,及时诊疗,以减少死亡率。
Objective Analysis the clinical characteristics of senile pulmonary embolism. Methods The risk factors, clinical presentation and diagnostic method of pulmonary embolism in 63 older patients （ ≥60 ages） and 60 younger patients （ ≤60 ages） were retrospectively analyzed. Results The risk factors for pulmonary embolism in elderly people included deep venous thrombosis, immobilization, malignant neoplasm. Dyspnea was the most frequent symptom in both groups. Chest pain and hemoptysis were less frequent, whereas syncope occurred more often in the older group, as compared with the younger group. The level of D - dimer in the older group was obviously higher than that in the younger group （ P 〈 0.05 ）. The pulmonary embolism incidence of both the main right and left pulmonary artery at the same time was no significant difference in the two groups （ P 〉 0.05 ）. Conclusion The clinical presentation of pulmonary embolism can be subtle or atypical in elderly patients, to which more attention should be paid, and timely diagnose and treatment be given, in order to cat down deathrate.
出处
《中国全科医学》
CAS
CSCD
2006年第21期1765-1767,共3页
Chinese General Practice
关键词
老年人
非老年
肺栓塞
Aged
Nun - aged
Pulmonary embolism
