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围绝经期妇女肺栓塞临床特点
引用本文:王红阳,高爱丽,李球兵,李立群,李琳. 围绝经期妇女肺栓塞临床特点[J]. 山东医药, 2011, 51(48): 14-15,18
作者姓名:王红阳  高爱丽  李球兵  李立群  李琳
作者单位:河北联合大学附属医院,河北唐山,063000
基金项目:河北省医学科研重点课题(08412)
摘    要:目的探讨围绝经期妇女肺血栓栓塞症(PTE)的特点。方法将已行CT肺动脉血管造影(CTPA)的围绝经期妇女分为PTE组30例,非PTE组(对照组)25例。比较两组妇女的危险因素、临床特点、体质量指数、血脂及凝血四项的差异。结果PTE组呼吸困难26例(86.7%)、胸闷11例(36.7%)、胸痛10例(33.3%);常见体征为P2亢进16例((53.3%)、双下肢不对称性水肿10例(33.3%)、紫绀10例(33.3%)。PTE组呼吸困难、P2亢进、紫绀、双下肢不对称性水肿发生率均明显高于非PTE组(P均〈0.05)。两组血脂水平均高,PTE组中肥胖的比例高于非PTE组(P〈0.05)。结论围绝经期妇女脂代谢失调,肥胖的围绝经期妇女出现呼吸困难、P2亢进、紫绀、双下肢不对称性水肿时,应警惕PTE的存在。

关 键 词:围绝经期  肺栓塞  临床特点

Clinical characteristics of pulmonary thromboembolism about perimenopausal women
WANG Hong-yang,GAO Ai-li,LI Qiu-bing,LI Li-qun,LI Lin. Clinical characteristics of pulmonary thromboembolism about perimenopausal women[J]. Shandong Medical Journal, 2011, 51(48): 14-15,18
Authors:WANG Hong-yang  GAO Ai-li  LI Qiu-bing  LI Li-qun  LI Lin
Affiliation:WANG Hong-yang,GAO Ai-li,LI Qiu-bing,LI Li-qun,LI Lin(The Affiliated Hospital of Hebei Union University,Tangshan 063000,P.R.China)
Abstract:Objective To explore the clinical characteristics of pulmonary thromboembolism(PTE) in perimenopausal women.Methods Perimenopause women done computer tomography of pulmonary artery angiography(CTPA) test were divided into two groups,PTE group(30 cases) and non-PTE group(25 cases).To compare the differences of risk factor,clinical characteristics,body mass index(BMI),blood lipids and four items of blood coagulation between two groups.Results In PTE group,26 cases(86.7%) with dyspnea symptom,11 cases(36.7%) w...
Keywords:perimenopause  pulmonary thromboembolism  clinical characteristics  
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