肺动脉栓塞11例临床分析

Analyze the clinical data of 11 patients with pulmonary thromboemb

目的回顾性分析11例肺血栓栓塞症患者临床资料。方法回顾性分析10年来两个社区医院收治的由三甲医院骨科手术术后转来做术后康复的患者及本辖区收治的慢性疾病患者,在治疗期间发生肺栓塞11例,对这11例肺栓塞患者临床情况进一步分析。结果11例患者中男性4例,女性7例,年龄70-87岁,平均年龄为(74.4±4.62)岁,8例患者年龄>72岁。髋关节置换术6例,膝关节置换术1例,腰椎管狭窄术1例,脑梗死1例,冠心病心力衰竭及风湿性心脏瓣膜置换后心衰各1例。11例患者中有烟酒嗜好者7例、高血压7例、糖尿病5例、高脂血症8例、脑血管疾病2例。11例患者均做D二聚体、心电图、下肢静脉超声及肺CT或肺动脉造影检查,证实肺栓塞。10例存活,1例死亡。结论高龄、髋关节置换术、慢性心血管疾病(包括冠心病、高血压、心脏瓣膜病)患者是肺栓塞的高危人群,高水平D二聚体有助于肺栓塞诊断。

Objective Retrospectively analyze the clinical data of 11 patients with pulmonary embolism.Methods In this study,a retrospective study was used to collect data from two Community Health Service Centers from ten years,which was diagnosed as pulmonary thromboembs.11 patients with pulmonary embolism were enrolled in this study.Results Among the 11 patients,4 were male and 7 were female,aged 70-87 years,with an average age of(74.4±4.62)years,and 8 patients were older than 72 years.There were 6 cases of hip replacement,1 case of knee replacement,1 case of lumbar spinal stenosis,1 case of cerebral infarction,1 case of coronary heart failure and 1 case of heart failure after rheumatic heart valve replacement.Among the 11 patients,7 had alcohol and tobacco addiction,7 had hypertension,5 had diabetes,8 had hyperlipidemia,and 2 had cerebrovascular diseases.All 11 patients were confirmed with pulmonary embolism by D-dimer,ECG,lower extremity venous ultrasound,pulmonary CT or pulmonary angiography.10 cases survived and 1 case died.Conclusion Older age,hip arthroplasty;the history of chronic cardiovascular disease(including coronary heart disease,hypertension,heart valvular disease)are the high risk factors for pulmonary embolism in patients with deep venous thrombosis of lower extremities.The high levels of D-D can increase the risk of adding pulmonary embolism.