老年人群发生急性肺栓塞的相关危险因素

Related factors on elderly with acute pulmonary embolism

目的探讨老年人群发生急性肺栓塞(APE)的相关危险因素。方法回顾我院收治的105例APE患者临床资料,按年龄分为老年组55例和非老年组50例,比较两组临床表现,分析老年人APE危险因素。结果非老年组和老年组的呼吸困难、咳嗽、胸闷的发生率分别为82.0%(41/50)vs 85.5%(47/55)、70.0%(35/50)vs 78.5%(43/55)、62.0%(31/50)vs 52.7%(29/55)(均P>0.05)。老年组的危险因素有慢性阻塞性肺疾病病史、心脑血管病史、糖尿病病史;非老年组的危险因素有深静脉血栓史、外伤及手术史。结论老年组APE患者的临床表现多不典型,与非老年组相似,老年组发生APE的危险因素与非老年组不同,临床上应密切注意。

Objective To investigate the related factors of elderly with acute pulmonary embolism （APE）. Methods The clinical data of 105 patients with APE were selected from the hospital,and the patients were divided into elderly group（n =50）and non-elderly group（n =55）by age,comparing the difference in clinical manifestations and risk factors between two groups,analyzing risk factors of APE in the elderly.Results The incidence of dyspnea, cough,chest tightness in non-elderly group and elderly group were 82.0%（41/50）vs 85.5%（47/55）,70.0%（35/50） vs 78.5%（43/55）,62.0%（31/50）vs 52.7%（29/55）,respectively （all P 〉0.05）.In elderly group,the risk factors included chronic obstructive pulmonary disease,heart cerebrovascular disease,history of diabetes.In non-elderly group,the risk factors were deep vein thrombosis,trauma and surgery history.Conclusion Clinical manifestations of elderly group with APE are not typical,similar to the non-elderly group.The risk factors for APE in elderly group are different from non-elderly group,close attention should focus to elderly population.