摘要
目的探讨老年人肺栓塞的临床特点,提高肺栓塞的诊治水平。方法回顾性分析我院诊治的45例老年肺栓塞患者的临床表现、诊断方法及治疗。结果老年人肺栓塞的临床表现更不典型,症状繁多。螺旋CT诊断率92.7%,溶栓和/或抗凝治疗者和非溶栓和/或非抗凝治疗者的死亡率分别为12.9%和69.2%。结论老年人肺栓塞症状多,以呼吸困难为主要表现,容易误诊为慢性心肺疾病急性发作。螺旋CT可作为老年人肺栓塞的首选和可靠的诊断方法,及时溶栓和抗凝可以降低死亡率。
【Objective】To discuss the clinical characteristic of aging pulmonary embolism（PE） so as to improve the level of diagnosis and treatment.【Methods】The clinical symptoms,diagnosis and treatment of the 45 aging cases with PE in our hospital were retrospectively analyzed.【Results】The clinical symptoms were various and not typical.The diagnosis ratio of spiral computed（CT） was 92.7 %,and the mortality rate of thrombolysis and/or anticoagulant therapy was 12.9 % which was lower than that of non-thrombolysis and/or non-anticoagulant therapy（69.2 %）.【Conclusion】Because of the complexity of the symptoms which are mostly manifested by dyspnea,PE in aging patients is easily misdiagnosed as outbreak of chronic heart or lung diseases.Spiral computed can be the chief and credible diagnostic method for the aging PE.Thrombolysis and/or anticoagulant therapy can reduce the mortality rate
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2010年第2期293-294,297,共3页
China Journal of Modern Medicine
关键词
肺栓塞
老年人
临床分析
pulmonary embolism
aging patient
clinical analysis
