高龄老年肺栓塞患者临床特点分析

Clinical characteristics of elderly patients with pulmonary embolism

目的分析老年及高龄老年肺栓塞患者临床资料,加强对高龄老年肺栓塞患者临床特点的认识。方法收集我院年龄大于65岁并首次明确诊断为肺栓塞患者的临床资料,以80岁为界分为老年组与高龄组,对两组临床资料进行比较分析。结果高龄患者原有慢性心肺疾病者占78.6%,呼吸困难常见,占78.6%,低氧血症发生率为66.7%%,合并低二氧化碳血症者占44.4%;心电图中ST-T改变占35.7%,SIQIIITIII为14.3%;CT肺血管造影提示栓塞部位以双侧最多见,右侧次之;7天诊断率为85.7%,院内死亡率14.3%。结论高龄肺栓塞患者临床表现多样,缺乏特异性,合并慢性心肺疾病多见,栓塞部位以双侧为多见。

Objective To analyze the clinical data of elderly patients with pulmonary embolism （PE）, in order to improve the recognition of pulmonary embolism. Methods The clinical data of patients older than 65 years old, who were first diagnosed as pulmonary embolism, were collected. They were divided into the old group and the senile group based on their age. The related indicators between the two groups were compared and analyzed. Results In the senile group. 78.6% patients had chronic heart and lung disease, 78.6% of dyspnea, 66. 7% of hypoxemia and 44. 4% of hypocapnia. ECG interpretation revealed ST-T changed in 35.7% patients, and the incidence of sIQI- IITIII was 14. 3% , respectively. CTPA showed that thrombus was the most frequently observed in the main pulmonary arteries, followed by the right side. The diagnosis rate within 7 days was 85.7% , and the hospital mortality was 14. 3%. Conclusion The clinical features of elderly patients with pulmonary embolism are variable and non-specif- ic, and it＇s commonly complicated with chronic heart and lung diseases, and mostly located at bilateral.