まとめ
治療を受けた肺栓塞 (PE) の患者は,86%の生存率を持っています. 死亡率は,巨大なPEにおける右心房不全によるショックと関連しており,PEのサイズだけでは関係ありません.
科学分野:
- 心臓病学 心臓病学
- 肺内科 肺内科 肺内科
- 血管医学 血管医学とは
背景:
- 肺栓塞 (PE) は,罹病率と死亡率の重要な原因である.
- PE死亡率の正確な評価は,治療戦略にとって極めて重要です.
研究 の 目的:
- 治療を受けた肺栓塞の患者の死亡率を決定する.
- PE患者の死亡率に影響を与える要因を特定する.
主な方法:
- 肺血管図でPEと診断された144人の連続した患者の遡及的レビュー.
- 死亡原因と患者のアウトカムに関する分析.
主要な成果:
- 全体生存率は86% (124人の患者) でした.
- 12人の患者 (8%) がPEで死亡し,4人だけがPEを主な死因としていた.
- 大量のPEにおける急性右心房不全によるショックが最も重要な死亡因子 (死亡率32%) であった.
- 死亡率は,ショックなしの大量PE (6%) とサブマッシブPE (5%) に似ている.
結論:
- 治療を受けたPE患者は,迅速に診断され治療された場合,良好な予後があります.
- 予後は,関連する重症疾患,特に心臓病の患者で悪化します.
- 大量のPEにおけるショックは,死亡率の決定的な決定因子です.
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