Risk factors analysis of pulmonary embolism among 182 patients and comparison of the effect of different therapy
10.3760/cma.j.issn.1008-6706.2014.11.023
- VernacularTitle:肺血栓栓塞182例危险因素分析及不同治疗方法临床疗效比较
- Author:
Zhigang QIAN
;
Ping YE
;
Jiaolong WANG
- Publication Type:Journal Article
- Keywords:
Pulmonary thromboembolism;
Risk factors
- From:
Chinese Journal of Primary Medicine and Pharmacy
2014;21(11):1653-1655
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the risk factors of pulmonary embolism and comparison of the effect of different therapy.Methods Risk factors of 182 patients with pulmonary embolism were analyzed retrospectively.The patients were randomly divided into simple drug group and drug joint intervention group.Simple drug group was given heparin and warfarin,or jiont urokinase fibrinolytic therapy.The drug joint intervention group was given the same drug therapy joint vena cava filter implantation and/or catheter broken bolt therapy.After different treatment,the clinical prognosis was compared between the two groups.Results Of 182 patients with pulmonary embolism,the elderly and smoking prevalence rate increased significantly,deep vein thrombosis,cardiovascular disease,cancer,blood system diseases,trauma and surgery,chronic lung disease,fracture and orthopaedic surgery were the main risk factors.The effective rate and mortality between the pure drug therapy group and drug joint intervention group had no significant differences(x2 =0.145,P > 0.05).Conclusion The incidence of pulmonary embolism is closely related to the risk factors.Cancer is one of the important diseases caused by pulmonary embolism.In a timely manner to give the antithrombotic drug treatment has great significance to the prognosis of pulmonary thromboembolism,there was no significant difference compared with the antithrombotic joint intervention.