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目的讨论老年重症肺炎患者凝血功能的变化及临床意义。方法按照随机分组原则,将62例老年重症肺炎患者作为观察组,将观察组患者分为MODS组、非MODS组;另选34例普通肺炎老年患者为对照组。分别测定患者PT、APTT、FIB、TT、D-D以及PLT等。结果重症肺炎组患者PT、APTT、TT等指标延长,PLT、FIB降低,D-D显著提高;其中MODS组PT、APTT、TT等较非MODS组延长,非MODS组PLT、FIB较高。结论老年重症肺炎患者的凝血功能变化较大,监控其凝血功能对老年重症肺炎患者的病情预后可以产生积极意义。
Objective To discuss the changes and clinical significance of coagulation function in elderly patients with severe pneumonia. Methods According to the principle of randomization, 62 elderly patients with severe pneumonia were selected as the observation group, and the patients in the observation group were divided into MODS group and non-MODS group. Another 34 elderly patients with common pneumonia were selected as the control group. Patients were measured PT, APTT, FIB, TT, D-D and PLT and so on. Results PT, APTT, TT and other indexes were prolonged, PLT and FIB were decreased and D-D was significantly increased in patients with severe pneumonia. The levels of PT, APTT and TT in MODS group were longer than those in non-MODS group and higher in non-MODS group. Conclusion The coagulation function of elderly patients with severe pneumonia varies greatly. Monitoring coagulation function may have positive effects on the prognosis of elderly patients with severe pneumonia.