摘要
目的:探讨老年人急性肺栓塞(PTE)的临床特点及诊断方法。方法:对9例急性PTE老年患者(>70岁)的临床表现、检查、诊断及治疗方法进行回顾性分析。结果:9例急性PTE患者中,表现为不典型胸痛5例,呼吸困难3例,活动后气短1例,首诊误诊率为66.675。D-二聚体大于500mg/L者8例(占88.89%),血气分析异常者7例(占77.78%),3例核素肺扫描和6例肺血管增强CT均有PE诊断依据。9例患者血液动力学均稳定,经抗凝、降低肺动脉压力等治疗,临床症状均有明显好转。结论:老年急性PTE的临床表现不特异,容易误诊,早期诊断、早期溶栓、抗凝治疗可明显改善老年急性PTE患者预后。
Oblective：To evaluate the clinical characteristics and diagnostic methods of acute pulmonary embolism in cldcrly.Methods： To retrospectively analyze the clinical manifestations,detection,diagnosis and treatment in 9 cases （agc〉70years）with acute pulmonary embolism.Results：Of 9 patients, atypical chest pain 5,dyspnea 3, shortness of breath on exertion l, the first misdiagnosis rate was 66.67%. D-dimer is greater than 500mg/L 8（88.89%）,abnormal blood gas analysis 7 （77.78%）,radionuclide scan and enhanced CT of lung showed evidence of pulmonary embolism in 3 cases and 6 cases respectively.9 patients were all in stable hemodynamics, the clinical symptoms wcrc significantly improved by anticoagulant, reduction of pulmonary artery pressure therapy et al.Conelusion：Thc clinical manifestations of acutc pulmonary embolism are not specific and can bc easily rnisdiagnosed.Eearly diagnosis and early treatment can significantly improve thc prognosis of acute pulmonary embolism in elderly.
出处
《中国医药导刊》
2011年第4期582-583,共2页
Chinese Journal of Medicinal Guide
关键词
急性肺栓塞
老年
诊断
治疗
Acute pulmonary embolism
The elderly
Diagnosis
Treatment
