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急性肺动脉栓塞的介入治疗 被引量:6

Interventional treatment for acute pulmonary embolism
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摘要 目的探讨介入技术在治疗下肢深静脉血栓致急性肺动脉栓塞中的临床疗效。方法对32例下肢深静脉血栓致急性肺动脉栓塞患者实施经皮穿刺下腔静脉滤器置入术和肺动脉碎栓、局部置管溶栓治疗,以开通肺动脉。结果滤器和导管均成功安全置入,经治疗后临床症状明显改善,并发脑出血1例,死亡1例;31例患者随访5~48个月,无再发肺动脉栓塞。结论下腔静脉滤器置入和经导管栓子祛除术是预防和治疗下肢深静脉血栓致急性肺动脉栓塞安全、有效的方法。 Objective To evaluate the efficacy of interventional therapy in acute pulmonary embolism (PE) with deep venous thrombosis(DVT).Methods 32 PE patients with DVT were treated with inferior vena eava filter placement, thrombus fragmentation and transcatheter local fibrinolysis thrombolysis, Results After placement of filter and catheter, most patients showed significant clinical improvements but one case died of cerebral hemorrhage,31 cases were followed up for 5 to 48 months and none of recurrent PE was found, Conclusion Inferior vena cava filter placement and transcatheter embolectomy are safe and effective approaches for preventing and treating acute pulmonary embolism induced by DVT.
出处 《中国呼吸与危重监护杂志》 CAS 2006年第1期39-41,共3页 Chinese Journal of Respiratory and Critical Care Medicine
基金 国家九五科技攻关项目(96-907-01-04)
关键词 肺动脉栓塞 血栓性静脉炎 介入治疗 溶栓治疗 Pulmonary embolism Thrombophlebitis Interventional therapy Thrombolytic therapy
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参考文献10

  • 1程显声,何建国,高明哲,陈光瑾,李树花,张中和,赵鸣武,周素敏,赵济文,成立珠,张珍祥,陈玉林,熊长明.急性肺血栓栓塞症溶栓及抗凝治疗多中心临床分析[J].中华内科杂志,2002,41(1):6-10. 被引量:123
  • 2彭燕.肺血栓栓塞症22例误诊分析[J].中国呼吸与危重监护杂志,2004,3(1):51-51. 被引量:8
  • 3关键,程德云,苏巧俐,张永.肺栓塞20例临床分析[J].中国呼吸与危重监护杂志,2004,3(5):314-315. 被引量:7
  • 4朱曼璐,陈旭利,王依群,牛海涛,刘雁飞.“十五”和2015年重大疾病防治[J].中国现代医学杂志,2000,10(4):55-56. 被引量:14
  • 5Magnant JG, Walsh DB, Juravsky LI, et al. Current use of inferior vena cava fihers. J Vasc Surg, 1992, 16:701 - 706.
  • 6Decousus H, Leizorovicz A, Parent F, et al. A clinical trial of vena caval filters in the prevention of pulmonary embolism in patients with proximal deep-vein thrombosis. N Engl J Med,1998,338:409 - 415.
  • 7王蓉美,张小瑜,李小波,冯玉麟.影像诊断在肺栓塞中的应用进展[J].中国呼吸与危重监护杂志,2004,3(1):55-56. 被引量:32
  • 8Daniels LB, Parker JA, Patel SR, et al. Relation of duration of symptoms with response to thrombolytic therapy in pulmonary enbolism. Am J Card, 1997 , 80:184 - 188.
  • 9Stock KW, Jacob AL, Schnabel K J, et al. Massive pulmonary embolism: treatment with thrombus fragmentation and local fibrinolysis with recombinant human-tissue plasminogen activator.Card Inter Rad, 1997,20:364 - 368.
  • 10Greenfield LJ, Proctor MC, Cho KJ, et al. Extended evaluation of the titanium Greenfield vena caval filter. J Vasc Surg, 1994,20:458 - 464.

二级参考文献28

  • 1陈愉生,林章树,林明,李瑞慧,李西平.六例肺栓塞临床诊治体会[J].中国呼吸与危重监护杂志,2002,1(2):70-70. 被引量:7
  • 2徐喜媛,孙德俊,杨敬平.肺血栓栓塞症的诊治体会[J].中国呼吸与危重监护杂志,2003,2(2):94-94. 被引量:16
  • 3姚翠玲,任立新,刘鹏珍,徐喜媛,孙德俊,杨敬平.急性肺血栓栓塞症的治疗与标准化护理[J].中国呼吸与危重监护杂志,2003,2(2):107-110. 被引量:16
  • 4王金祥,胥振扬,李晓辉,邝土光,何永福,祝昌平.肺血栓栓塞症21例临床分析[J].中国呼吸与危重监护杂志,2003,2(6):367-367. 被引量:9
  • 5程显声.进一步提高肺栓塞的诊断意识[J].中华内科杂志,1996,35(8):512-512. 被引量:59
  • 6程显声.肺血管疾病学[M].北京:北京医科大学中国协和医科大学出版社,1992..
  • 7Nazeyrolla SP,Metz D,Jolly D,et al.Use of transthoracic doppler echocardiography combined with clinical and electrocardiographic data to predict acute puhnonary embolism.Eur Heart J,1996;17:779-786
  • 8McConnell MV,Solomon SD,Rayan ME,et al.Regional right ventricular dysfunction detected by echocardiography in acute pulmonary embolism.Am J Cardiology,1996; 78:469-473
  • 9Pruszczyk P,Torbicki A,Pacho R,et al.Noninvasive diagnosis of suspected severe pulmonary embolism:transesophageal echocardiography vs spiral CT.Chest,1997; 112:722-728
  • 10Breatnach E,Stanley RJ.CT diagnosis of Segmental pulmonary artery embolus.J Conput Assist Tomogr,1984; 8:762-764

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