ty -jour t1- COPD JF的静脉homboemboli和加剧 - 欧洲呼吸杂志JO -EUR RESSIR J SP -1243 LP -1243 LP -1248 DO -10.1183/09031936.00120909 VL -35 IS -35 IS -6 AU -6 AU -GUNEN，H. AU -GUNEN，H. AU -GULBAS，GULBAS，G.。au- in，E。au- Yetkin，O。au -Hacievliyagil，S。S. Y1- 2010/06/01 Ur -http：//www.qdcxjkg.com/content/35/6/1243.Abstract N2-本研究是为了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）。 Of patients with VTE, 20 (95%) had high D-dimer levels. 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. ER -