| 中老年急性肺血栓栓塞症的诊治分析 |
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| 引用本文： | 孙凯,解卫平,闵锐,李南,王虹. 中老年急性肺血栓栓塞症的诊治分析[J]. 实用老年医学, 2011, 25(6): 467-469. DOI: 10.3969/j.issn.1003-9198.2011.06.010 |
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| 作者姓名： | 孙凯 解卫平 闵锐 李南 王虹 |
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| 作者单位： | 南京医科大学第一附属医院呼吸科,江苏省南京市,210029 |
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| 摘 要： | 目的探讨1996～2010年江苏省人民医院确诊为急性肺血栓栓塞症（APTE）中老年病例的危险因素、易患因素以及诊断和治疗方法的变迁。方法对我院1996～2010年间280例确诊为APTE的中老年病例的发病特点、诊治及其转归进行临床回顾性评估分析。结果 APTE好发年龄为50～80岁,占发病的77.5%,以冬春季节为多。APTE临床表现仍以胸闷气急、呼吸困难为主要临床表现,占60.7%。D二聚体〉0.5μg/L占88.5%,仍是高敏感性检查指标。结论 APTE发病与易发因素有关,对其认识加深,重视高敏感性检查指标的筛选,结合快速有效的影像学检查,可提高APTE的诊断率。
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| 关 键 词： | 肺栓塞 肺血栓栓塞症 D二聚体 CT血管成像 |
Clinical analysis of acute pulmonary thromboembolism in middle and old aged patients |
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| SUN Kai,XIE Wei-ping,MIN Rui,LI Nan,WANG Hong. Clinical analysis of acute pulmonary thromboembolism in middle and old aged patients[J]. Practical Geriatrics, 2011, 25(6): 467-469. DOI: 10.3969/j.issn.1003-9198.2011.06.010 |
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| Authors: | SUN Kai XIE Wei-ping MIN Rui LI Nan WANG Hong |
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| Affiliation: | SUN Kai,XIE Wei-ping,MIN Rui,LI Nan,WANG Hong.Department of Respiratory Medicine,the First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,China |
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| Abstract: | Objective To investigate the risk factors,susceptibility factors and the changes of diagnosis and treatment of acute pulmonary thromboembolism(APTE) in the cases with middle or old age,diagnosed and treated in Jiangsu Provincial Hospital from 1996 to 2010.Methods The clinical characteristics,diagnosis and treatment,clinical outcome of all 280 APTE cases from 1996 to 2010 were evaluated by retrospective analysis.Results The people with a age between 50 to 80 years old were prone to APTE,accounting for 77.5% ... |
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| Keywords: | pulmonary embolism pulmonary thromboembolism D dime computed tomography pulmonary angiography |
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