Clinical characteristics of aged 80or old female pulmonary thromboembolism patients
10.3969/j.issn.1009-0126.2019.05.006
- VernacularTitle:80岁及以上老年女性肺血栓栓塞症患者的临床特点分析
- Author:
Lu CHEN
1
;
Yinjing HOU
;
Wei FENG
;
Mingzhao QIN
Author Information
1. 首都医科大学附属北京同仁医院老年医学科
- Keywords:
pulmonary embolism;
menopause;
venous thrombosis;
anticoagulants
- From:
Chinese Journal of Geriatric Heart Brain and Vessel Diseases
2019;21(5):470-474
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the risk factors,auxiliary examinations and severity of disease between elderly female and male pulmonary thromboem bolism(PTE)patients.Methods One hundred and nineteen elderly PTE patients(72females and 47males)admitted to our hospital were included in this study.Their clinical symptoms,past medical history,laboratory testing parameters,imaging data,treatment plan,and risk stratification were compaired between elderly female and male PTE patients.The risk stratification such as PESI,sPESI,and prognosis scores were assessed. Results The rate of past PTE history was significantly higher while that of smoking was significantly lower in female patients than in male patients(P＜0.05,P＜0.01).The serum hemoglobin and creatinine levels and the incidence of AF were significantly lower while the number of lymphocytes was significantly greater,the change of V2and V3lead T-waves was more obvious and the ratio of oral anticoagulation therapy was significantly higher in female patients than in male patients(P＜0.05,P＜0.01).The PESI score was significantly lower in female patients than in male patients(86.5 vs 102.0,P＜0.01).No significant difference was detected in clinical symptoms,sPESI score,prognosis score and risk stratification between female and male PTE patients (P＞0.05).Conclusion No significant difference is detected in clinical symptoms,sPESI score,prognosis score and risk stratification between elderly male and female PTE patients.Changes of V2and V3lead T-waves on ECG are common in female PTE patients.
