老年和非老年肺栓塞患者的临床特点比较  

Comparison of clinical characters of pulmonary embolism in elderly and non-elderly patients

作　　者：马金宝[1] 秦明照[1] 

机构地区：[1]首都医科大学附属北京同仁医院干部医疗科,100730

出　　处：《中华全科医师杂志》2014年第3期221-223,共3页Chinese Journal of General Practitioners

摘　　要：回顾性比较130例＞65岁（老年）肺栓塞和66例≤65岁（非老年）肺栓塞患者的临床资料.老年患者最常见的原因是心血管病、慢性阻塞性肺疾病和下肢静脉病变,非老年患者最常见的原因是下肢静脉病变及手术.老年组患者首诊正确率明显低于非老年组（102/130与62/66）,误诊率明显高于非老年组（28/130与4/66）.非老年组改良的Geneva量表评分与V/Q扫描的一致性好.老年组改良Geneva量表评分与V/Q扫描的一致性差.The clinical materials of pulmonary embolism in 130 elderly patients （ 〉 65 years） and 66 non-elderly patients （ ≤ 65 years ） were retrospeetively analyzed. The most common risk factors forpulmonary embolism in elderly patients were cardiovascular disease, chronic obstructive pulmonary disease and deep venous disease. And the most common risk factors for pulmonary embolism in non-elderly patients were deep venous disease and surgery. Correct first diagnosis rate in elderly group was less than that in non- elderly group（ 102/130 vs. 62/66） while misdiagnosis rate in elderly group was more than that in non-elderly group（28/130 vs. 4/66）. Consistency of revised Geneva score and ventilation and perfusion V/Q scanning was excellent in elderly group while poor in non-elderly group.

关 键 词：肺栓塞 年龄因素 

分 类 号：R563.5[医药卫生—呼吸系统]