Clinical significance of monocyte and large platelet for pulmonary embolism in patients with acute exacerbation of chronic obstructive pulmonary disease

Jun Yang, Kaifen Yuan, Lijiao Cao
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Abstract

Acute exacerbation of chronic obstructive pulmonary disease (AECOPD) can lead to a sharp deterioration of respiratory function, and the most chronic obstructive pulmonary disease (COPD)-associated death occurs in AECOPD.The prevalence of pulmonary embolism is high in COPD patients, especially in AECOPD patients.Pulmonary embolism and AECOPD have similar clinical symptoms.And it is difficult to distinguish them by symptoms, signs and simple laboratory tests, which leads to the excessive use of computer tomography pulmonary angiography.In recent years, many researchers have found that monocyte, platelet, especially large platelet, are evidently related to intravascular and extravascular inflammatory reaction and thrombogenesis. Key words: Acute exacerbation of chronic obstructive pulmonary disease; Pulmonary embolism; Monocyte; Large platelet
单核细胞和大血小板在慢性阻塞性肺疾病急性加重期肺栓塞中的临床意义
慢性阻塞性肺疾病(AECOPD)急性加重可导致呼吸功能急剧恶化,并且大多数慢性阻塞性肺疾病(COPD)相关死亡发生在AECOPD中。肺栓塞的患病率在COPD患者中很高,特别是在AECOPD患者中。肺栓塞和AECOPD具有相似的临床症状。通过症状、体征和简单的实验室检查难以区分,导致计算机断层肺血管造影的过度使用。近年来,许多研究者发现单核细胞、血小板,特别是大血小板,与血管内、血管外炎症反应和血栓形成有明显的关系。关键词:慢性阻塞性肺疾病急性加重期;肺栓塞;单核细胞;大血小板
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