Bước đầu đánh giá kết quả điều trị tắc động mạch phổi cấp ở bệnh nhân cao tuổi=Outcome of treatment of acute pulmonary embolism in elderly patients

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Giang Phúc Đỗ, Bùi Hải Hoàng, Thế Anh Nguyễn, Hoàng Dương Tô

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Nghiên cứu y học (Đại học Y Hà Nội), 2024

Mô tả vật lý: tr.288-296

Bộ sưu tập: Metadata

ID: 244829

Thêm vào giỏ

Đánh giá kết quả, tính an toàn phác đồ của Hội Tim mạch Việt Nam năm 2022 trong điều trị tắc động mạch phổi cấp ở người cao tuổi. Mô tả tiến cứu so sánh kết quả trước và sau điều trị. Nghiên cứu thu thập được 50 bệnh nhân, tuổi trung bình là 71,5 ± 6,07
nam 52%. Nguy cơ tử vong cao 14% và 86% nguy cơ trung bình và thấp. Điều trị bằng tiêu sợi huyết ở 16%, bằng chống đông đơn thuần ở 84%. Triệu chứng lâm sàng cải thiện sau điều trị, khó thở: 29,7%
nhịp tim nhanh: 12,8% và đau ngực: 8,2%
chỉ số nặng: 12,7 ± 6,7 xuống 5,2 ± 1,3
áp lực động mạch phổi: 45,3 ± 12,7 xuống 32,7 ± 9,3mmHg và tỷ lệ tử vong tại bệnh viện 6%, cộng dồn là 10% sau 1 tháng, xuất huyết tiêu hoá 2%, xuất huyết dưới da, tiểu máu 4%. Nghiên cứu cho thấy kết quả điều trị tắc động mạch phổi cấp ở người cao tuổi tử vong chung sau 1 tháng là 10%, cải thiện triệu chứng tốt, không gặp các biến chứng nặng hoặc nguy kịch.The purpose of the study was to evaluate the results and safety of the Vietnam Heart Association's 2022 guideline in the treatment of acute pulmonary embolism in elderly patients. This study described a prospective comparison of results before and after treatment. A total of 50 patients were included in the study, with a mean age of 71.5 ± 6.07 years old where 52% were male. The high risk of death was 14%, while 86% had medium and low risk. Treatment included thrombolysis in 16% of cases and anticoagulation alone in 84%. Clinical symptoms improved after treatment: shortness of breath occurred in 29.7%, tachycardia in 12.8%, and chest pain in 8.2%. The severity index decreased from 12.7 ± 6.7 to 5.2 ± 1.3
pulmonary artery pressure decreased from 45.3 ± 12.7 to 32.7 ± 9.3 mmHg. The hospital mortality rate was 6%, with a cumulative rate of 10% after 1 month. Gastrointestinal bleeding occurred in 2%, and hemorrhage under the skin and hematuria were observed in 4%. The study showed that the overall mortality rate for acute pulmonary embolism in elderly patients after 1 month was 10%, with significant symptom improvement and no severe or critical complication.

1. Đọc trực tuyến

1. Đọc trực tuyến

Tạo bộ sưu tập với mã QR