急性肺血栓栓塞症患者应用不同方法的诊断分析

Diagnosis and Analysis of Different Methods of Acute Pulmonary Thromboembolisms

目的探讨不同方法在肺血栓栓塞症（PTE）患者诊断中的应用价值.方法：186例成年PTE患者,按年龄分为A组（18～60岁）和B组（≥60岁）.对两组患者的-般资料进行回顾性分析,分析PTE不同年龄段的临床特点及差异.结果：⑴PTE合并基础肺病、冠心病、脑梗塞的发生率情况,A组明显低于B组（P〈0.05）;⑵A组合并风湿免疫病的发生率明显高于B组（P〈0.05）;⑶合并恶性肿瘤、静脉炎/静脉曲张、骨折/手术方面情况比较,两组间差异均无统计学意义（P〉0.05）;⑷A组胸痛、咯血、晕厥的发生率高于老年组（P〈0.05）;⑸A组胸痛、咯血、三联征的发生率高于老年组（P〈0.05）;⑹B组肺部哆音的发生率高于A组（P〈0.05）.结论：除常见危险因素外,老年PTE患者多为合并基础肺疾病、心脑血管疾病等,中青年PTE患者的危险因素多为合并风湿免疫类疾病等.

[ABSTRACT]Objective: To investigate the application value of different methods in the diagnosis of pulmonary thromboembolism (PTE). Methods: 186 cases of adult PTE patients, were randomly divided into A group (18~60 years) and B group (over 60 years). The general data of two groups were analyzed retrospectively, and the clinical characteristics and differences of PTE were analyzed. Results:⑴The PTE with basic disease, coronary heart disease, cerebral infarction incidence, a group was significantly lower than that of group B (P<0.05); ⑵A combination and rheumatological disease incidence was significantly higher than that in group B (P<0.05);⑶With malignant tumor, phlebitis varicose veins, fractures/surgery situation compared two groups had no statistical significance (P>0.05);⑷A group of chest pain, hemoptysis syncope occurred rate higher than that of the aged group (P<0.05); ⑹The chest pain, hemoptysis, triad incidence higher than that of the aged group (P<0.05);⑸Pulmonary rales was higher than that in group A (P<0.05). Conclusion:In addition to the common risk factors, the elderly patients with PTE were combined with basic lung disease, cardiovascular and cerebrovascular diseases, and the risk factors of young patients with PTE were more than that of rheumatic diseases.