摘要
目的总结老年急性肺血栓栓塞的临床特点和诊治经验。方法选取我院1998年3月～2003年10月住院的70岁以上老年急性肺血栓栓塞患者34例,分为两组,一组为发病至确诊并施治时间在14天内的21例,另一组为发病至确诊并施治时间超过14天的13例,回顾性分析其临床资料,并比较发病至确诊并施治时间在14天内和超过14天的临床疗效。结果34例患者均经CT肺动脉造影(CTPA)确诊,初诊时误诊率为44%,发病至确诊并施治时间在14天内的经溶栓抗凝治疗显效率为57%,总有效率为81%。超过14天的显效率为31%,总有效率为69%,两组患者显效率分别为57%、31%,前者显著高于后者;总有效率比较差异无显著性(P>0.05)。结论临床工作中要掌握老年肺血栓栓塞的易患因素,及早确诊,治疗以溶栓抗凝为主,发病至确诊并施治时间在14天内的疗效显著,超过14天的疗效减低,但仍有一定效果。
Objective To summarize the clinical characteristics and experience of diagnosing and treating for acute pulmonary thromboembolism in elder patients.Methods The 34 patients were over 70 years old.These patients with acute pulmonary thromboembolism were admitted from March 1998 to Octomber 2003.We reviewed their clinical material and compared the clinical curative effect of onset time this disease less than two weeks with that of more than two weeks.Results The 34 patients were diagnosed by screw CT.The first visit to doctor, the rate of misdiagnosis was 44 of percent. The rate of clear effect was 57 of percent and the rate of efficacy was 81 of percent in patients less than two weeks from onset time;The rate of clear effect was 31 of percent and the rate of efficacy was 69 of percent in patients more than two weeks from onset time.Compared with the rate of clear effect and the rate of efficacy in two groups,the rate of clear effect had statistical significance(P<0.05),and the rate of efficacy hadn’t statistical significance(P>0.05).Conclusions We must understand impaired factors of pulmonary thromboembolism in elder patients during the clinical practice, and diagnosed as early as possible.PTE was mainly treated by thrombocyte and anti-thromboplastics and anti-platelet.
出处
《临床内科杂志》
CAS
2005年第6期390-391,共2页
Journal of Clinical Internal Medicine
关键词
肺血栓栓塞
老年人
Pulmonary thromboembolism
Elder patients
