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目的比较溶栓和抗凝法治疗老年人急性次大面积肺栓塞的有效性。方法将2012~2014年9月70例患者随机分为两组.观察组和对照组分别采用溶栓和抗凝治疗.比较两组患者的临床疗效和心功能指标。结果观察组总有效率(94.3%)明显高于对照组(85.7%).差异具有显著性(.P<0.05);观察组的右心功能各项指标均明显优于对照组.差异具有统计学意义(P<0.05).结论溶栓治疗的效果更为显著.患者右心功能恢复较好.皿栓再通率高,但由于溶栓治疗会增加患者出血的风险.因此适合出血率低、病情较为严重的患者。
Objective To compare the effectiveness of thrombolysis and anticoagulation in the treatment of acute sub-maxillary pulmonary embolism in the elderly. Methods Seventy patients were randomly divided into two groups from September 2012 to September 2014. The patients in the observation group and the control group were treated with thrombolysis and anticoagulation respectively.Clinical efficacy and cardiac function were compared between the two groups. Results The total effective rate (94.3%) in the observation group was significantly higher than that in the control group (85.7%), the difference was significant (P <0.05), and the indexes of right heart function in the observation group were significantly better than those in the control group (P <0.05) .Conclusion The effect of thrombolytic therapy is more significant, the recovery of right heart function is better, the rate of reopening of peg-plate is higher, but thrombolytic therapy will increase the risk of bleeding in patients, so it is suitable for low bleeding rate , The more serious condition of patients.