中老年急性肺血栓栓塞症的诊治分析

摘要

Objective To investigate the risk factors, susceptibility factors and the changes of diagnosis and treatment of acute pulmonary thromboembolism (APTE) in the cases with middle or old age, diagnosed and treated in Jiangsu Provincial Hospital from 1996 to 2010. Methods The clinical characteristics, diagnosis and treatment, clinical outcome of all 280 APTE cases from 1996 to 2010 were evaluated by retrospective analysis. Results The people with a age between 50 to 80 years old were prone to APTE, accounting for 77. 5% of all the patients. APTE morbidity in winter and spring was higher than that in summer and autumn. About 60. 7% of all cases showed chest tightness, shortness of breath and dyspnea. About 88. 5% of all cases presented with >0. 5 μg/L D-dime. Conclusions APTE morbidity is related to risk factors. Paying more attention to the sensitive marker, combined with convenient and effective imageology examinations can improve the diagnosis of APTE.%目的 探讨1996～2010年江苏省人民医院确诊为急性肺血栓栓塞症(APTE)中老年病例的危险因素、易患因素以及诊断和治疗方法的变迁. 方法 对我院1996～2010年间280例确诊为APTE的中老年病例的发病特点、诊治及其转归进行临床回顾性评估分析. 结果 APTE好发年龄为50～ 80岁,占发病的77.5％,以冬春季节为多.APTE临床表现仍以胸闷气急、呼吸困难为主要临床表现,占60.7％.D二聚体＞0.5μg/L占88.5％,仍是高敏感性检查指标. 结论 APTE发病与易发因素有关,对其认识加深,重视高敏感性检查指标的筛选,结合快速有效的影像学检查,可提高APTE的诊断率.