103例肺栓塞预后影响因素分析  

Prognostic factors of 103 cases of pulmonary embolism

作　　者：房延凤[1] 金发光[1] 傅恩清[1] 张红军[1] 孙瑞琳[1] FANG Yan-feng JIN Fa-guang FU En-qing ZHANG Hong-jun SUN Rui-lin(Department of Respiratory and Critical Care Medicine, Tangdu Hospital of the Fourth Military Medical University, Xi＇ an, Shaanxi 710038, China)

机构地区：[1]第四军医大学唐都医院呼吸与危重症医学科,陕西西安710038

出　　处：《临床肺科杂志》2017年第6期1092-1095,共4页Journal of Clinical Pulmonary Medicine

摘　　要：目的探讨肺栓塞预后及相关影响因素,降低其病死率。方法收集2012年6月-2015年6月唐都医院呼吸科住院由临床表现及辅助检查确诊为急性肺栓塞的103例患者,对其预后及相关影响因素进行回顾性分析。结果 103例肺栓塞患者中,死亡12例,病死率(11.65%),且病死率逐年下降(χ~2=4.891,P=0.027),有统计学差异。随着年龄增长,病死率升高(χ~2=9.068,P=0.028),D-二聚体升高组较正常组病死率高(χ~2=3.905,P=0.048),BNP升高组较正常组病死率高(χ~2=4.758,P=0.029),c Tn T升高组较正常组病死率高(χ~2=4.593,P=0.032),均有统计学差异。结论伴随医疗水平的提高,肺栓塞病死率逐渐下降,预后影响因素很多,D-二聚体、BNP、c Tn T升高组病死率上升,本文研究其有利于降低病死率。Objective To explore the prognosis of pulmonary embolism and related factors, and reducing its mortality. Methods About 103 patients who were diagnosed as pulmonary embolism were collected with clinical observe and assistand examination in Respiratory Department of Tangdu Hospital from June 2012 to June 2015, whose prognosis and related factors were analyzed retrospectively. Results Among 103 cases of pulmonary embolism, 12 cases died, and the mortality was 11.65%. The mortality decreased year by year （χ^2 = 4. 891, P = 0. 027）. As the age increased, the mortality increased （χ^2 = 9. 068, P = 0. 028）. The mortality of elevated D-dimer was higher than that in the normal group （ χ^2 = 3. 905, P = 0. 048）. The mortality of the increased BNP group were higher than in the normal group （χ^2 = 4. 758, P = 0. 029）. The mortality of the increased cTnT group were higher than that in the normal group （ χ^2 = 4. 593, P = 0. 032）. Conclusion With the improvement of medical level, the mortality of pulmo- nary embolism is gradually decreasing. There are many prognostic and influencing factors, such as the high levels of D-dimer, BNP and cTnT. The study is benefit to decrease the mortality.

关 键 词：肺栓塞 预后 病死率 

分 类 号：R563.5[医药卫生—呼吸系统]