18例老年人肺栓塞临床分析

Clinical Analysis of 18 Patients with Pulmonary Embolism in the Elderly

目的：探讨老年人肺栓塞的临床特征。方法：回顾性分析1995年1月至2004年12月本院18例老年人肺检塞的临床资料。结果：老年人肺栓塞的基础疾病以慢性心肺疾病为主,临床表现不典型,常规检验缺乏特异性；误诊率83％；溶栓和／或抗凝治疗者和非溶栓和／或抗凝治疗者的死亡率分别为17％(1／6)和75％(9／12)。结论：老年肺栓塞误诊率高,及时溶栓和抗凝可以降低死亡率。

Objective： To explore the clinical characteristics in the elderly with pulmonary embolism. Methods： The clinical data of 18 patients with pulmonary embolism were reviewed retrospectively from Jan 1995 to Dec 2004. Results： The most important fundamental diseases of pulmonary embolism in the elderly were chronic pulmonary and heart diseases. The clinical manifestation and routine tests was no specific. The misdiagnosis rate was 83%. The mortality in the patient treated by thrombolysis and/or anticoagulation therapy was 17%（1/6）, but in the patient who didn＇t given the therapy was 75%（9/12）. Conclusion. The misdiagnosis rate in elderly pulmonary embolism patients was high. The treatment of thrombolytic and/or anticoagulative timely could reduced the mortality.