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目的了解广西肺栓塞患者获得性危险因素构成。方法在广西不同地区选择当地医疗技术较好且具有代表性的13所综合医院进行调查,获得性危险因素分类参照国内外肺栓塞指南。编制印刷病例报告表,调查2009~2011年肺栓塞患者获得性危险因素。结果 202例肺栓塞患者中21例(10.4%)合并下肢深静脉血栓形成,41例(20.3%)无危险因素,75例(37.1%)具有1个高危因素,86例(42.6%)具有2个或以上危险因素。前5位危险因素分别为年龄≥60岁103例(51.0%)、卧床>5 d/长时间静坐38例(18.8%)、外科手术27例(13.4%)、血小板增高26例(12.9%)和慢性阻塞性肺疾病22例(10.9%)。结论高龄、制动、外科手术、血小板增高和慢性阻塞性肺疾病是广西地区肺栓塞患者获得性危险因素。
Objective To understand the constitution of acquired risk factors in patients with pulmonary embolism in Guangxi. Methods In different areas of Guangxi, we selected 13 general hospitals with good local medical technology to conduct a survey. The classification of acquired risk factors is based on the guidelines of pulmonary embolism at home and abroad. Prepare a printed case report form to investigate the acquired risk factors for patients with pulmonary embolism from 2009 to 2011. Results Twenty-two of 202 patients (10.4%) had deep venous thrombosis, 41 (20.3%) had no risk factors, 75 (37.1%) had one risk factor and 86 (42.6%) had 2 One or more risk factors. The first five risk factors were age (60), 103 (51.0%), 38 (18.8%) in bedridden> 5 days, 27 cases in operation (13.4%) and thrombocytopenia (12.9% And 22 cases of chronic obstructive pulmonary disease (10.9%). Conclusion Aged, brachial, surgical, thrombocytosis and chronic obstructive pulmonary disease are acquired risk factors for pulmonary embolism in Guangxi.