％0期刊文章％a Gunen，H.％A Gulbas，G.％a in，E.％A蛋J欧洲呼吸道杂志％p 1243-1248％v 35％n 6％x本研究的目的是确定慢性阻塞性肺疾病（COPD）加重静脉血栓栓塞（VTE）的患病率和危险因素。连续纳入住院的COPD患者。注意到入院时的症状，体征和临床，血液学和流行病学参数。所有患者均接受了深静脉血​​栓形成和肺栓塞（PE）的计算机断层造影术和超声检查。计算井和日内瓦分数。随访患者1年以确定死亡率。在14例和18例患者中分别检测到深静脉血栓形成和PE。在未知来源的患者中，VTE的患病率比已知来源加重的患者高三倍（p = 0.016）。在VTE患者中，有20名（95％）的D二二聚体水平高。 The negative predictive value of D-dimer testing was 0.98. Although the moderate- and high-risk categories of both the Wells and Geneva methods covered all PE patients, the Wells method identified 49% less potential patients for PE investigation. Mortality at 1 yr was higher (61.9% versus 31.8%) in VTE patients (p = 0.013). VTE is a common problem in COPD patients hospitalised with an exacerbation, leading to high long-term mortality. D-dimer levels and the Wells criteria can be used to determine whether or not these patients are assessed for a thromboembolic event. %U //www.qdcxjkg.com/content/erj/35/6/1243.full.pdf