Diagnosis and treatment of pulmonary embolism in the elderly

被引：19

作者：

Berman, AR

Arnsten, JH

机构：

[1] Montefiore Med Ctr, Albert Einstein Coll Med, Dept Med, Div Pulm Med, Bronx, NY 10467 USA

[2] Montefiore Med Ctr, Albert Einstein Coll Med, Dept Epidemiol & Social Med, Bronx, NY 10467 USA

[3] Montefiore Med Ctr, Albert Einstein Coll Med, Dept Psychiat, Bronx, NY 10467 USA

来源：

CLINICS IN GERIATRIC MEDICINE | 2003年 / 19卷 / 01期

关键词：

D O I：

10.1016/S0749-0690(02)00055-1

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

Pulmonary embolism (PE) is a difficult diagnosis in patients of all ages, but more so in the elderly. Nonspecific symptoms and laboratory results are often misattributed to common diseases or to age itself, and can delay or even deter the diagnosis and treatment of PE. Advanced age is sometimes mistakenly seen as a contraindication to anticoagulation and thrombolysis. Together, these factors contribute to the higher morbidity and mortality associated with PE in the elderly than in younger patients. This article reviews the risk factors, diagnosis, and treatment of PE as it applies to the elderly.

引用

页码：157 / +

页数：20

共 104 条

[1]

ALLENBY F, 1973, LANCET, V2, P1412

[2]

*AM GER SOC, 2000, J AM GERIATR SOC, V48, P224

[3] A POPULATION-BASED PERSPECTIVE OF THE HOSPITAL INCIDENCE AND CASE-FATALITY RATES OF DEEP-VEIN THROMBOSIS AND PULMONARY-EMBOLISM - THE WORCESTER DVT STUDY [J].