Patal Rani, Szyper-Kravitz Martine
Internal Medicine B. Sheba Medical Center, Tel-Hashomer and the Sackler Faculty of Medicine, Tel-Aviv University.
Harefuah. 2011 Jul;150(7):572-3, 618.
Pulmonary embolism is a medical condition associated with significant morbidity and mortality. However, there are serious side effects to the anticoagulation therapy. We report on a 97-year-old woman who was admitted to the internal medicine department due to dyspnea and pleuritic chest pain. In the differential diagnosis we considered pulmonary embolism. In this article we present the diagnostic and therapeutic steps according to the guidelines, and compare them to a hypothetical situation of a younger woman who is presented with the same clinical findings. We discuss the risks that are attributed to pulmonary embolism on the one hand, and to the anticoagulation therapy on the other hand, with respect to elderly patients more than 80 and 90 years old versus younger patients.
肺栓塞是一种与高发病率和死亡率相关的病症。然而，抗凝治疗存在严重的副作用。我们报告了一名97岁女性，因呼吸困难和胸膜炎性胸痛入住内科。在鉴别诊断中，我们考虑了肺栓塞。在本文中，我们根据指南介绍了诊断和治疗步骤，并将其与一名具有相同临床表现的年轻女性的假设情况进行比较。我们讨论了一方面肺栓塞、另一方面抗凝治疗分别给80岁及以上、90岁及以上老年患者和年轻患者带来的风险。
