摘要
目的研究急性肺栓塞患者的流行病学特征。方法收集2015年1月1日~2017年1月1日我院经CT肺动脉造影检查确诊肺栓塞患者的相关基本信息,描述其性别、年龄、易患因素、临床表现、PESI分级构成,分析发病时间分布特点,描述转归情况。结果133例急性肺栓塞患者,男性81例,女性52例,平均年龄(69.12±12.90)岁;前5位易患因素分别为:老龄91例(68.42%)、浅静脉血栓形成57例(42.86%)、卧床3d以上39例(29.32%)、慢性心力衰竭或呼吸衰竭34例(25.56%)、外科手术28例(21.05%);临床表现:呼吸困难96例(72.18%)、胸痛24例(18.05%)、(先兆)晕厥22例(16.54%)、咯血14例(10.53%);PESI分级:Ⅰ级13例(13.53%)、Ⅱ级43例(32.33%)、Ⅲ级44例(33.08%)、Ⅳ级14例(10.53%)、Ⅴ级(10.53%);时间分布:月分布及周分布无高峰点及高峰段,时刻分布高峰点为12时48分,高峰段为7时49分~17时47分;转归情况:好转95例(71.43%)、放弃治疗29例(21.80%)、转上级医院7例(5.26%)、痊愈1例(0.75%)、死亡1例(0.75%)。结论通过对133例急性肺栓塞患者的流行病学特征研究,了解目前肺栓塞发病的易患因素、临床表现及时间分布特征,可以更好的指导临床工作。
Objective To study the epidemiological characteristics of patients with acute pulmonary embolism.Methods The basic information of patients with pulmonary embolism diagnosed by CT pulmonary angiography in our hospital from January 1,2015 to January 1,2017 was collected.The gender,age,predisposing factors,clinical manifestations,PESI grades were analyzed.Time distribution characteristics,describing the outcome of the outcome.Results There were 133 patients with acute pulmonary embolism,including 81 males and 52 females with an average age of(69.12±12.90)years.The top 5 predisposing factors were 91 elderly patients(68.42%),There were 57 cases(42.86%)with superficial vein thrombosis,39 cases(29.32%)with bedridden more than 3 d,34 cases(25.56%)with chronic heart failure or respiratory failure,and 28 cases(21.05%)with surgical operation.Clinical manifestations:dyspnea 96 Case(72.18%),chest pain in 24 cases(18.05%),(aura)22 cases(16.54%),hemoptysis 14 cases(10.53%);PESI classification:13 cases of grade I(13.53%),43 cases of grade II(32.33%),44 cases(33.08%)of grade III,14 cases(10.53%)of grade IV,Grade V(10.53%);time distribution:monthly distribution and weekly distribution without peaks and peaks,time distribution peak point is 12:48,peak period is 7:49 to 17:47;outcome:improvement 95 cases(71.43%),29 cases(21.80%)were abandoned,7 cases(5.26%)were transferred to higher level hospitals,1 case(0.75%)was cured,and 1 case(0.75%)died.Conclusion The epidemiological characteristics of 133 patients with acute pulmonary embolism can be used to understand the current predisposing factors,clinical manifestations and time distribution characteristics of pulmonary embolism,which can better guide clinical work.
作者
黄文彬
徐平
曹灵红
HUANG Wen-bin;XU Ping;CAO Ling-hong(Department of Emergency,the Fourth People's Hospital of Zigong City,Zigong643000,Sichuan,China)
出处
《医学信息》
2019年第18期104-106,118,共4页
Journal of Medical Information
基金
2018年自贡市重点计划项目(编号：2018CZ10)
关键词
肺栓塞
流行病学
时间分布特征
Pulmonary embolism
Epidemiology
Time distribution characteristics
