| 不同治疗方法对老年肺血栓栓塞症预后的影响 |
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| 引用本文： | 殷亚昕,夏云峰,刘润梅,翟红霞,李良,张津津,陈海威. 不同治疗方法对老年肺血栓栓塞症预后的影响[J]. 中华老年心脑血管病杂志, 2008, 10(10): 754-756 |
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| 作者姓名： | 殷亚昕 夏云峰 刘润梅 翟红霞 李良 张津津 陈海威 |
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| 作者单位： | 解放军总医院第一附属医院干一科,北京,100037 |
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| 摘 要： | 目的探讨老年肺血栓栓塞症的临床特点、诊断方法、不同治疗方案及其疗效。方法回顾性分析我院2001~2007年确诊为肺血栓栓塞症的48例老年患者的临床资料,根据治疗方法分为溶栓组(10例)、抗凝组(20例)及抗血小板组(18例)。对肺血栓栓塞症的发病诱因、诊断方法和不同治疗方案及疗效进行分析。结果肺血栓栓塞症的临床表现无明显特异性,以呼吸困难及胸痛为主要临床表现,在实验室检查中放射性核素肺灌注通气检查阳性率高,心电图可表现为窦性心动过速,ST-T改变,SⅠQⅢTⅢ征,超声心动图可表现为右心房、右心室增大,三尖瓣反流及肺动脉高压,溶栓组痊愈7例,好转2例,死亡1例;抗凝组痊愈11例,好转9例;抗血小板组痊愈4例,好转7例,死亡7例。溶栓组与抗凝组疗效无统计学差异,溶栓组与抗血小板组及抗凝组与抗血小板组间疗效均有统计学差异(P<0.05)。结论肺血栓栓塞症的临床表现多样,溶栓及抗凝治疗均可有效改善预后,单纯抗血小板治疗效果不佳。
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| 关 键 词： | 肺栓塞 血栓溶解疗法 抗凝药 危险因素 预后 |
Influence of different treatment methods on prognosis of pulmonary thromboembolism in old patients |
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| YIN Ya-xin,XIA Yun-feng,LIU Run-mei,et al. Influence of different treatment methods on prognosis of pulmonary thromboembolism in old patients[J]. Chinese Journal of Geriatric Cardiovascular and Cerebrovascular Diseases, 2008, 10(10): 754-756 |
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| Authors: | YIN Ya-xin XIA Yun-feng LIU Run-mei et al |
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| Affiliation: | YIN Ya-xin,XIA Yun-feng,LIU Run-mei,et al(The First Affiliated Hospital of Chinese PLA General Hospital,Beijing 100037,China) |
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| Abstract: | Objective To investigate the clinical characteristics,diagnosis,different treatment regimens and their therapeutic efficacy in pulmonary thromboembolism of the elderly.Methods The clinical data of 48 patients with pulmonary thromboembolism were retrospectively analyzed.According to different treatment methods,the patients were divided into thrombolytic therapy group(10 patients),anticoagulative therapy group(20 patients) and antiplatelet therapy group(18 patients).The predisposing cause,diagnosis,different ... |
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| Keywords: | pulmonary embolism thrombolytic therapy anticoagulants risk factors prognosis |
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