老年急性肺栓塞患者肺部感染的临床特点与预后分析

发布时间：2018-04-01 22:26

本文选题：老年急性肺栓塞　切入点：肺部感染　出处：《中华医院感染学杂志》2014年08期

【摘要】：目的探讨老年急性肺栓塞患者临床特点,以及合并肺部感染的临床特点及预后分析,为临床治疗提供参考依据。方法回顾性分析医院2010年9月-2012年9月确诊为急性肺栓塞合并肺部感染的老年患者45例,诊断符合肺栓塞患者诊断标准,确诊主要通过肺动脉CT;同时伴有其他疾病,包括高血压、糖尿病、慢性支气管炎、肺心病、肺气肿、肥厚性心肌病及肾功能不全等,采用SPSS 13.0软件进行统计分析。结果急性肺栓塞病史1年有22例患者,占48.89%,有2例合并其他疾病患者,占14.29;肺部感染治愈9例治愈率为20.00%;好转24例好转率为53.33%;死亡12例病死率为26.67%。结论急性肺栓塞合并肺部感染在老年人群中发病率较高,慢性基础疾病及制动为最常见的危险因素,做到早期诊断与治疗是降低老年急性肺栓塞病死率及改善预后的关键。
[Abstract]:Objective to investigate the clinical features and prognosis of elderly patients with acute pulmonary embolism (APE) and to provide reference for clinical treatment.Methods from September 2010 to September 2012, 45 elderly patients with acute pulmonary embolism complicated with pulmonary infection were analyzed retrospectively. The diagnosis was consistent with the diagnostic criteria of pulmonary embolism, and the diagnosis was mainly through pulmonary CT.At the same time, the diagnosis was accompanied by other diseases.Hypertension, diabetes, chronic bronchitis, cor pulmonale, emphysema, hypertrophic cardiomyopathy and renal insufficiency were analyzed by SPSS 13.0 software.Results there were 22 patients with acute pulmonary embolism (48.89), 2 patients with other diseases (14.29), 9 cases with pulmonary infection cured (20.00%), 24 cases with improvement (53.33%) and 12 cases with mortality (26.67%).Conclusion the incidence of acute pulmonary embolism combined with pulmonary infection is high in the elderly. Chronic underlying diseases and immobilization are the most common risk factors. Early diagnosis and treatment is the key to reduce mortality and improve prognosis of acute pulmonary embolism in the elderly.
【作者单位】：北京市平谷区医院呼吸2病区;
【基金】：国家自然科学基金资助项目(U1204811)
【分类号】：R563.5

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