老年人静脉血栓栓塞症的研究进展

The research progress of venous thromboembolism in the elderly

目的总结现阶段老年人静脉血栓栓塞症的研究进展。方法复习近年来国内外有关老年人静脉血栓栓塞症的流行病学、危险因素、诊断、防治及预后方面的文献并进行综述。结果静脉血栓栓塞症对于老年人来说是较为常见的一类心血管系统疾病,其发生率较高,但老年人对其预防重视程度不够,其临床表现无年轻人明显。对老年人静脉血栓栓塞症,各种检查手段各有其优缺点,治疗以抗凝为主,但需注意出血风险。结论老年人静脉血栓栓塞症的发病率高,诊断措施多样,需要分类对待,治疗过程中的利弊尤其需要注意,加强其专门的研究更有必要。

Objective To summarize the present research progress of venous thromboembolism in the elderly.Methods Reviewed the literatures in recent years about the epidemiology,risk factors,diagnosis,prevention,and prognosis of venous thromboembolism in the elderly.Results Venous thromboembolism was a more common cardiovascular system diseases for the elderly,the incidence was higher,but the elderly didn＇t pay much attention on it.The clinical manifestations of venous thromboembolism in elderly were different from young people,and all kinds of inspection methods had advantages and disadvantages.It gave priority to anticoagulation therapy,but we should pay attention to the risk of bleeding.Conclusions High incidence of venous thromboembolism was observed in the elderly,and diagnostic measures for venous thromboembolism were various.In the process of treatment,classification,the pros and cons were especially needed to pay attention to,and its special researches were necessary.