不同年龄肺栓塞患者的危险因素与预后分析

Risk factors and prognostic analysis in different age patients with pulmonary embolism

①目的探讨不同年龄肺栓塞患者的危险因素及预后。②方法对93例肺栓塞病例回顾性分析。老年患者(≥60岁)46例,平均年龄(71.6±6.8)岁;非老年患者(<60岁)47例,平均年龄(44.8±9.9)岁。③结果老年组危险因素依次为:下肢静脉血栓(DVT)、心脑血管病史、手术史、骨折、肿瘤。心脑血管病史、肿瘤在老年组比非老年组高(22/46:10/47)、(8/46:1/47)差异有显著性(P<0.005)。老年组病死率高(13/46:4/47),差异有显著性(P<0.005)。④结论老年肺动脉栓塞患者伴随疾病多,预后差。

Objective To analyse risk factors and prognosis in different age patients with pulmonary embolism. Methods Ninty -three patients with pulmonary embolism were analysed. There were 46 elderly patients （age ≥60years）, average age（ 71.6 ≥ 6.8 ） years ;47 non_elderly patients （ age 〈 60 years ） , average age （44.8 ≥ 9.9 ）. Results Risk factors in elderly group were lower extremity venous thrombosis （ DVT ） , cardiovascular and cerebrovaseular disease history, operation history, frueture and tumor in turn. The rates of cardiovascular and cerebrovascular disease history and tumor were higher（22/46：10/47）, （8/46：1/47）in elder- ly group than in non -elderly group（ P 〈 0.05 ）. The mortality was higher in elderly group than in non -elderly group（ 13/46：4/ 47 ） （ P 〈 0.05 ）. Conclusion There are more otherdiseases and poor prognosis in elderly patients with pulmonary embolism.