摘要
目的 调查北京协和医院住院患者肺血栓栓塞 (简称肺栓塞 )诊断情况。 方法 回顾性分析该院 1999年 1月至 2 0 0 2年 12月间收治的急性肺栓塞患者 ,按性别、年龄、基础病分组。 结果 在 4年共计 7884 4例住院患者中 ,诊断肺栓塞者 15 5例 ( 0 2 0 % ) ,2 710 0例男性中有 73例( 0 2 7% ) ;5 174 4例女性中有 82例 ( 0 16 % ) ;174 5 9例老年患者 (≥ 6 0岁 )中肺栓塞 5 2例 ( 0 30 % ) ,6 1385例非老年患者 ( <6 0岁 )肺栓塞 10 3例 ( 0 17% )。肺栓塞危险因素在老年组主要是心脏病、恶性肿瘤、下肢静脉病变 ,非老年组主要是下肢静脉病变、手术、结缔组织病。 结论 北京协和医院住院患者肺栓塞诊断率 0 2 0 % ,老年组肺栓塞发生率显著高于非老年组 。
Objective To investigate the diagnostic status of pulmonary thromboembolism (PTE) for inpatients in Peking Union hospital Methods Inpatients diagnosed acute PTE from January 1999 to December 2002 were reviewed and divided by sex, age and risk factors Results Among 78 844 inpatients, 155 were diagnosed PTE during 4 year period, 73 of 27 100 in men (0 27%) vs 82 of 51 744(0 16%)in women, and 52 of 17 459 (0 30% ) in elderly patients(≥60 years) vs 103 of 61 385 (0 17% ) in non elderly patients(<60 years) The most important risk factors for elderly patients were heart diseases, tumor and deep venous thrombasis(DVT), but for non elderly were DVT, operation and connective tissue diseases Conclusions The prevalence of PTE in Peking Union Hospital was 0 20%,male 0 27% vs female 0 16% and elderly patients 0 30% vs non elderly patients 0 17% The morbidity of PTE increased significantly in elderly patients, and their risk factors are different from patients elderly than non elderly
出处
《中华老年医学杂志》
CAS
CSCD
北大核心
2004年第4期225-227,共3页
Chinese Journal of Geriatrics
