Progress in diagnosis and treatment for pulmonary thromboembolism in the elderly with chronic obstructive pulmonary disease
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Key words:pulmonary thromboembolism  pulmonary disease, chronic obstructive  aged
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HU Ping, ZHANG Yun-Jian* Department of Respiratory and Critical Care Medicine, Beijing Jishuitan Hospital, the Fourth Clinical Medical College of Peking University, Beijing 100035, China 
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      Pulmonary thromboembolism (PTE) is a major complication in the elderly patients with chronic obstructive pulmonary disease (COPD), and is of high incidence, mortality and recurrence. The clinical manifestations of COPD and PTE were nonspecific and might overlap, and this may lead to delayed diagnosis or misdiagnosis for PTE. Therefore, it is very important to increase awareness of PTE diagnosis in clinical practice. For the elderly COPD patients complicated with PTE, physicians should give full consideration on the elderly’s pathophysiological characteristics and the impact of their complications to select thrombolytic or anticoagulant treatment, and carefully weigh the severity and risk of bleeding.