肺血栓栓塞症危险因素构成与临床特点分析

肺血栓栓塞症危险因素构成与临床特点分析

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时间:2019-02-02

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1、新疆医科大学硕士学位论文AnalysisoftheriskfactorsandclinicalcharacteristicsofPulmonarythromboembolismPostgraduate:XiQinmeiSupevisor:Prof.AiLiman.mahemutiObjective:ToanalyzetheriskfactorsandclinicalcharacteristicsandtodiscusssicknesssituationandthedifferencesbetweenhanandUighurinriskfactorsofPTEhos

2、pitalizationpatientinourhospitalinrecent7years,summarizingtheexperience,reducingmisdiagnosis,furtherimprovingitsearlydiagnosisrate.Methods:Adoptretrospectivestudymethod,toanalyze586patientsHospitalizedduringthe7yearsratesofmedicalmaterialcompletethePTEpatientclinicaldatafrom2004to2010

3、inXinjiangmedicaluniversityfirstaffiliatedhospital.Results:It’srisinginthenumberofPTEhospitalizationpatientinrecent4years.Theonsetpeakageofthemalepatientsformorethan70yearsoldandfor60to69yearsoldoffemalepatients.Thereisabout10yearsearlierintheonsetpeakageinfemalePTEpatientthaninmale.T

4、heonsetpeakageoftheHanpatientsformorethan70yearsoldandfor60to69yearsoldofUighurpatients.Thereisabout10yearsearlierintheonsetpeakageinUighurPTEpatientthaninHan.586PTEpatientinvolving360Hanpatients(61.43%)whichaverageageis61.70±15.61yearsoldand226minoritynationalpatients(38.57%)andinwhi

5、chUighuris156accountsfor58.65%(averageage53.98±15.07yearsold).Thedistributionofthefirstdepartmentthatthepatientschooseisrespiratorydepartment296cases(50.57%)andheartmedicinedepartment79cases(13.51%).Age≥40yearsold,obesity,embolismhistoryandhyperlipidemiaarefourmostcommonacquiredriskfa

6、ctorsandbasicdiseases.ObesityisthemainlyriskfactorsinUighurandsmokinganddrinkingaremainlyriskfactorsinHanpeople.ThemostcommonsymptomsofPTEaredifficultybreathing,asthma,coughandchestpainandthemostcommonclinicalsignsarepleuraleffusion,shortnessofbreath,thelungssound,lowerlimbswellingand

7、reducedbreathsounds.35.84%PTEpatientscombinedwithdeepveinthrombosis(DVT)andinwhich12.93%patientasPTEasstartingsymptoms.Conclutions:ThePTEdiagnosticlevelobviouslyimprovedinourhospitalinrecentyears.TheincidenceofPTEofUighurishigherthanthatinotherminority.TheonsetageofPTEofUygurisearlier

8、thant

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