下肢深静脉血栓发生无症状性肺栓塞的相关危险因素  

Related Risk Factors for Asymptomatic Pulmonary Embolism in Deep Venous Thrombosis of the Lower Extremities

作　　者：于立洋[1] YU Li-yang(Department of Vascular Surgery,Henan People’s Hospital,Zhengzhou,Henan Province,450000 China)

机构地区：[1]河南省人民医院血管外科,河南郑州450000

出　　处：《中外医疗》2018年第3期160-161,164,共3页China & Foreign Medical Treatment

摘　　要：目的分析下肢深静脉血栓(DVT)患者发生无症状性肺栓塞(PE)的危险因素。方法方便选取该院收治的150例DVT患者,纳入时间为2014年6月—2017年6月。依据肺动脉造影(CTPA)结果将其分为两组:无症状PE组47例,症状性PE组103例。收集患者的资料病情,通过对比分析明确无症状性PE的危险因素。结果无症状性PE组DVT以右侧患肢(59.6%)、中央型(63.8%)、有DVT病史(78.7%)、有心脏疾病(68.1%)为主;症状性PE组DVT以左侧患肢(82.5%)、周围型(65.0%)、无DVT病史(66.0%)、无心脏疾病(72.8%)为主,差异有统计学意义(P<0.05)。Logistic回归分析可知右侧患肢(OR=3.688,P=0.040)、中央型DVT(OR=0.164,P=0.001)、有DVT病史(OR=0.182,P=0.012)、有心脏疾病(OR=4.050,P=0.043)和无症状性PE的发生密切相关,视为危险因素。结论 DVT患者发生无症状性PE的概率高,其中右侧患肢、中央型DVT、有DVT病史、合并心脏疾病是危险因素,此类患者应该尽早诊断并干预处理。Objective This paper tries to analyze the risk factors of asymptomatic pulmonary embolism in patients with deep venous thrombosis.Methods 150 cases of DVT patients in this hospital from June 2014 to June 2017 were convenient selected,according to the results of computed tomography pulmonary arteriography,they were divided into two groups:asymptomatic PE group with 47 cases,symptomatic PE group of 103 cases.The data of patients were collected and the risk factors of asymptomatic PE were determined by comparative analysis.Results Asymptomatic PE group DVT with right limb(59.6%),central type(63.8%),a history of DVT(78.7%),heart disease(68.1%);PE group DVT with symptomatic left limb(82.5%),peripheral type(65.0%),no history of DVT(66.0%),no history of heart disease(72.8%),with significant difference(P<0.05).Logistic regression analysis showed that right limb(OR=3.688,P=0.040),central DVT(OR=0.164,P=0.001),DVT history(OR=0.182,P=0.012),heart disease(OR=4.050,P=0.043)and asymptomatic PE were closely related,considered as risk factors.Conclusion The probability of asymptomatic PE in patients with DVT is high,in which the right side of the affected limb,central DVT,DVT history,and heart disease are risk factors,such patients should be diagnosed and treated as soon as possible.

关 键 词：DVT 无症状性PE 症状性PE 危险因素 

分 类 号：R563.5[医药卫生—呼吸系统]