542例AECOPD住院患者肺栓塞风险和预防分析

目的探讨AECOPD住院患者静脉血栓栓塞症（VTE）的风险和预防需求。方法调查542例次AECOPD住院患者，分析其V．rE的危险因素分布和风险评分。结果VTE危险因素的Kaprini评分在0～1分的比例为0，2分占0．92％，3-4分占10，7％，5～8分占66．4％，〉8分者占22％。需预防性抗凝或采用机械方法的患者比例为86．9％。有人住ICU指征的患者按两种标准均100％需要预防。结论AECOPD患者是VTE的高危人群，需入住ICU的AECOPD患者均需积极预防。

Risks and prevention demands of pulmonary embolism in 542 inpatients with acute exacerbation of COPD

Objective To investigate the risks and prevention demands of pulmonary embolism in inpatients with acute exacerbation of chronic obstructive pulmonary disease （AECOPD）. Methods The data of 542 inpatients with AECOPD were retrospectively analyzed to investigate the distribution and evaluation of VTE risk factors. Results Judged by Kaprini scoring system, 0. 92% patients had a low risk for VTE （Kaprini score =2） ; 10. 7% patients had a moderate risk for VTE （scoring 3 -4） ; 66. 4% patients had a high risk for VTE （scoring 5 -8 ） ; 22.0% patients had an extremely high risk for VTE （Kaprini score ≥ 8 ）. According to the guideline for VTE prevention, only 13. 1% patients were exempted from VTE prevention, and all patients met the criteria of ICU admission. Conclusion The patients with AECOPD have a high risk of VET, so they need to be treated in ICU and be given proper preventions.