广西地区肺栓塞患者获得性危险因素的调查

目的：了解广西肺栓塞患者获得性危险因素构成。方法在广西不同地区选择当地医疗技术较好且具有代表性的13所综合医院进行调查，获得性危险因素分类参照国内外肺栓塞指南。编制印刷病例报告表，调查2009～2011年肺栓塞患者获得性危险因素。结果202例肺栓塞患者中21例（10.4％）合并下肢深静脉血栓形成，41例（20.3％）无危险因素，75例（37.1％）具有1个高危因素，86例（42.6％）具有2个或以上危险因素。前5位危险因素分别为年龄≥60岁103例（51.0％）、卧床＞5 d/长时间静坐38例（18.8％）、外科手术27例（13.4％）、血小板增高26例（12.9％）和慢性阻塞性肺疾病22例（10.9％）。结论高龄、制动、外科手术、血小板增高和慢性阻塞性肺疾病是广西地区肺栓塞患者获得性危险因素。

Acquired risk factors for pulmonary embolism in Guangxi of China

Objective To discover the acquired risk factors for pulmonary embolism （ PE） in Guangxi of Chi-na.Methods Thirteen general hospitals in Guangxi were included .The risk factors for PE were chosen based on the PE guidelines of European Society of Cardiology and Chinese Medical Association .The patients with definite PE from 2009 to 2011 were recruited for the risk factors analysis , prospectively .Results Twenty-one （ 10.4%） of 202 pa-tients with PE suffered from venous thrombosis .The most common risk factors consisted of the advanced age （103 pa-tients, 51.0%）, prolonged immobilization（38 patients, 18.8%）, recent surgery operation（27 patients, 13.4%）, thrombocytosis（26 patients, 12.9%） and chronic obstructive pulmonary disease （22 patients, 10.9%）.Except 41 patients（20.3%） with non-risk factor, one risk factor was found in 75 patients（37.1%） and two or more were in 86 patients（42.6%）.Conclusion The patients with advanced age , immobilization, recent operation, thrombocytosis or chronic obstructive pulmonary disease are more likely to develop PE in Guangxi .Proper prophylaxis should be em-phasized for these population .