摘要
通过对38例临床表现、实验室检查、放射性核素肺灌注显像等方法确诊的老年肺栓塞患者进行回顾性分析,并比较老年患者和非老年患者在致病原因、临床表现及误诊方面的差异,证实下肢深静脉血栓的形成、恶性肿瘤、高血压动脉硬化等是老年人肺栓塞的主要危险因素。老年组肺栓塞的误诊率高达60.5%,高于非老年组(53.2%),最易误诊为肺炎,其次为心肌梗死。因此,老年人肺栓塞应引起临床医生高度重视。
To focus on the understanding of pulmonary embolism and to discuss the reasons of misdiagnosis for pulmonary embolism. Retrospectively analysis 38 cases of elderly pulmonary embolism proven by clinical , laboratory examinations and chest radiography, etc. In addition , the differences in etiology, clinical manifestation and misdiagnosis between senile and nor senile patients were compared. The risk factors for pulmonary embolism in elderly people included deep venous thrombosis, malignant neoplasm, coronary atheroma, etc. The rate of misdiagnosis in the elderly was 60.5%, and the rate of misdiagnosis in the nor elderly was 53.2%. Doctors should pay more attention to elderly pulmonary embolism fature.
出处
《医学与哲学（B）》
2006年第9期13-14,共2页
Medicine & Philosophy(B)
关键词
肺栓塞
误诊
临床表现
Pulmonary embolism, misdiagnosis, clinical manifestation
