RT期刊文章SR电子T1静脉thromboemboli和慢性阻塞性肺病加重病人的摩根富林明欧洲呼吸杂志乔和J FD欧洲呼吸学会SP 1243欧元OP 1248做10.1183/09031936.00120909 VO 35是6 A1 Gunen, h . A1 Gul188bet官网地址bas g . A1在大肠A1耶特金,o . A1 Hacievliyagil,S. S. YR 2010 UL //www.qdcxjkg.com/content/35/6/1243.abstract AB本研究的目的是确定慢性阻塞性肺病(COPD)加重中静脉血栓栓塞(VTE)的患病率和危险因素。连续纳入因加重而住院的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。所有患者均行计算机断层血管造影及超声检查以检查深静脉血栓和肺栓塞(PE)。计算Wells和Geneva分数。患者随访1年以确定死亡率。深静脉血栓形成14例，PE 18例。不明原因加重患者的静脉血栓栓塞发生率是已知原因加重患者的3倍(p = 0.016)。在静脉血栓栓塞患者中，20例(95%)d -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.