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肺栓塞的老年患者肺梗塞的临床特征:一个回顾性比较研究
Zhen-Chuan Xing1, Yuan Yuan1, Hong-Xia Zhang1
1Department of Pulmonary and Critical Care Medicine, Beijing Luhe Hospital, Capital Medical University, Beijing, China.
Frontiers in medicine
|December 8, 2025
概括
患有肺梗塞 (PI) 的老年患者经常出现不典型的症状和并发症. 临床医生必须识别这些微妙的迹象,以便在这个脆弱群体中及时诊断和治疗肺栓塞 (PE).
科学领域:
- 肺部病理学 肺部病理学
- 老年医学 老年医学
- 放射学 放射学是一门学科.
背景情况:
- 肺栓塞 (PE) 是导致发病和死亡的重要原因,特别是在老年人中.
- 肺梗塞 (PI) 是PE的常见并发症,但老年患者的临床表现可能与年轻人不同.
- 了解这些差异对于准确及时诊断至关重要.
研究的目的:
- 分析肺梗塞 (PI) 在患有肺栓塞 (PE) 的老年患者的临床特征.
- 为了比较PE的老年 (≥65岁) 和非老年 (<65岁) 患者之间的PI的临床表现,风险因素和疾病严重程度.
主要方法:
- 一个单一中心的回顾性研究包括71名通过CTPA确认的PE继发性PI患者.
- 患者被分为老年人 (≥65岁) 和非老年人 (<65岁) 两组.
- 使用统计测试比较了基线特征,实验室/成像发现,威尔斯得分,PE严重程度,诊断和治疗.
主要成果:
- 肺梗塞 (PI) 发生在17.1%的PE病例中,老年人群和非老年人群的分布相似.
- 老年患者表现出肺炎胸痛,血,心血管疾病,脑血管疾病,肺高血压和心电图变化的显著差异.
- 老年人群中,中高风险PE的比例更高,非紧急/呼吸系统首次诊断的比例更高.
结论:
- 患有PI的老年患者出现了不那么典型的胸痛,血或心电图变化.
- 高比例的并发性心血管/脑血管疾病和初始错误诊断在老年PI患者中被发现.
- 临床医生应警老年人的非典型PI表现,并增加对这一群体的关注.
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