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在阿曼急性肺栓塞:情况分析
Sally Al Harrasi1, Issa Al Salmi1,2, Nasser Al Busaidi3
1Internal Medicine Residency Training Program, Oman Medical Specialty Board, Muscat, Oman.
Oman medical journal
|February 12, 2024
概括
肺栓塞 (PE) 对阿曼男性和女性的影响相似,但风险因素,症状和管理因性别而异. 虽然女性出现更严重的PE,但男性患者的死亡率更高.
科学领域:
- 医学研究 医学研究
- 心脏病学 心脏病学
- 肺部病理学 肺部病理学
背景情况:
- 肺栓塞 (PE) 是阿曼日益严重的健康问题.
- 了解 PE 在阿曼人口中的特征对于有效管理至关重要.
研究的目的:
- 分析阿曼患者肺栓塞 (PE) 的易感因素,诊断挑战和管理策略.
- 在阿曼确定PE呈现和性别之间的结果的人口和临床差异.
主要方法:
- 在2010年至2021年期间,通过计算机断层扫描肺血管造影诊断出急性PE的438名阿曼患者的回顾性横截分析.
- 数据从医院数据库中收集并进行统计分析,以评估风险因素,症状,调查和治疗结果.
主要成果:
- 该研究包括438名患者 (50.9%是男性),平均年龄为53.3岁. 高血压 (三分之二) 和糖尿病 (三分之一) 是常见的并发症.
- 呼吸不全和胸痛是最常见的症状. 女人更常经历昏睡,而男性呈现出血. 男性的射出分数较低,死亡率更高.
- 肝素是最常见的抗凝剂,其次是华法林和直接口服抗凝剂. PE直接导致68人死亡.
结论:
- 急性肺栓塞 (PE) 的发生率在阿曼男性和女性中是相似的.
- 在PE风险因素,症状,诊断结果和管理方法方面存在显著的性别差异.
- 尽管女性出现更严重的PE,但男性患者的死亡率更高.
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