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目的:探讨老年恶性肿瘤合并肺栓塞的临床特点和诊治。方法:对2001年3月～2011年5月收治的29例老年恶性肿瘤合并肺栓塞患者进行回顾性分析。结果:29例患者中3例采用溶栓+抗凝治疗,25例采用抗凝治疗,1例拒绝抗凝治疗。经治疗共有18例症状明显好转,3例症状改善不明显,8例死亡。结论:老年恶性肿瘤合并肺栓塞患者病死率高,早期诊断和积极治疗可提高生存率。
Objective: To investigate the clinical features and diagnosis and treatment of elderly patients with malignant tumor complicated with pulmonary embolism. Methods: A retrospective analysis of 29 elderly patients with malignant tumor complicated with pulmonary embolism admitted from March 2001 to May 2011 was performed. Results: Three of the 29 patients received thrombolysis plus anticoagulation, 25 received anticoagulation, and 1 refused anticoagulation. After treatment a total of 18 cases of symptoms improved significantly improved in 3 cases was not obvious, 8 patients died. Conclusion: The mortality of elderly patients with malignant tumor complicated by pulmonary embolism is high. Early diagnosis and aggressive treatment can improve the survival rate.