Rich Michael W
Cardiovascular Division, Washington University School of Medicine, 660 S. Euclid Avenue, Box 8086, St. Louis, MO 63110, USA.
J Gerontol A Biol Sci Med Sci. 2004 Jan;59(1):34-41. doi: 10.1093/gerona/59.1.m34.
The incidence and prevalence of venous thromboembolic disease (VTED) increase progressively with age. Although the clinical features, diagnosis, and treatment of VTED are generally similar in older and younger adults, prevalent comorbidities often complicate the management of VTED in the elderly. The Sixth American College of Chest Physicians Consensus Conference on Antithrombotic Therapy provides comprehensive recommendations for the management of VTED. This article summarizes these recommendations as they apply to older adults and highlights factors that may modulate the diagnosis and treatment of VTED in the elderly patient.
静脉血栓栓塞性疾病(VTED)的发病率和患病率随年龄增长而逐渐升高。尽管VTED在老年人和年轻人中的临床特征、诊断及治疗通常相似,但常见的合并症往往使老年人VTED的管理变得复杂。第六届美国胸科医师学会抗栓治疗共识会议为VTED的管理提供了全面建议。本文总结了这些适用于老年人的建议,并强调了可能影响老年患者VTED诊断和治疗的因素。