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A Porcine Model of Acute Autologous Pulmonary Embolism
Published on: September 6, 2024
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在老年和年轻患者中PE的特征
Aydanur Ekici1, Mehmet Ekici1, Şule İleri1
1Departments of Chest Diseases, Kirikkale University Faculty of Medicine, Kirikkale, Turkey.
概括
肺栓塞 (PE) CTPA发现在老年人和年轻患者之间存在显著差异. 老年患者表现出更多的慢性PE症状,而年轻患者表现出更多的急性PE特征,影响结果.
科学领域:
- 放射学 放射学是一门学科.
- 心血管成像 - 心血管成像
- 老年医学 老年医学
背景情况:
- 肺栓塞 (PE) 呈现可能因患者年龄而异.
- 显著的CTPA成像特征可以观察到老年人与PE的年轻人相比.
研究的目的:
- 调查和比较CTPA特征的肺栓塞在老年人 (≥65岁) 和年轻 (<65岁) 患者群体.
- 为了确定PE的成像表现的年龄相关差异.
主要方法:
- 对2013年至2019年期间被诊断患有PE的患者CTPA扫描的回顾性分析.
- 将患者分为老年人 (≥65岁) 和年轻人 (<65岁) 队列.
- 两年龄组之间的成像发现的比较,包括动脉封闭类型,迹象和 perfusion 模式.
主要成果:
- 年轻的患者更频繁地呈现出扩大完全动脉封闭,波罗薄荷标志和部分填充缺陷的急性角度.
- 老年患者更常见地表现出缩小的完整动脉封闭,加厚的小动脉,双侧膜溢出,细分血管大小变化和马赛克输液模式.
- 右心室功能障碍 (RV/LV直径比≥1),低氧和和肺动脉直径增加与PE患者的住院死亡率增加有关.
结论:
- 肺栓塞的CTPA发现显示了与年龄相关的显著差异,慢性特征在老年人中占主导地位,急性特征在年轻人中占主导地位.
- 年龄,以及特定的CTPA发现,如RV/LV比率,氧和和肺动脉直径,是PE患者住院死亡率的关键决定因素.
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