摘要
目的探讨急性大面积肺梗死介入机械碎栓治疗的可行性和临床疗效。方法对15例急性大面积肺栓塞患者采用碎栓器械行介入治疗,观察临床症状、肺动脉平均压、血氧分压和肺动脉开通情况。结果疗效评价为11例显效,3例好转,1例无效,术后动脉血氧分压明显升高,由(60.6±7.8)mmHg升至(91.0±7.7)mmHg,P=0.00;肺动脉平均压明显降低由(39.7±10.8)mmHg降至(27.3±7.9)mmHg,P=0.000。结论介入机械碎栓治疗急性大面积肺栓塞是一种可行且行之有效、安全的方法。
Objective To evaluate the feasibility and effectiveness of interventional mechanical thrombectomy procedure in the treatment of acute massive pulmonary infarction. Methods Fifteen patients of acute massive pulmonary infarction were treated with interventional thrombectomy device. The clinical symptoms, mean pulmonary arterial pressure, partial arterial oxygen pressure and pulmonary arterial recanalization were observed before and after the procedure. Results The evaluation of effectiveness were shown remarkably in 11 cases, improvement in 3 and none in 1; with partial arterial oxygen pressure significantly increased （60.6 ± 7.8 mmHg vs 91.0 ± 7.7 mmHg, P = O.000）and mean pulmonary arterial pressure significantly decreased （39.7 ± 10.8 mmHg vs 27.3 ± 7.9 mmHg, P = 0.000）before and after the procedure respectively. Conclusions The interventional mechanical thrombectomy procedure for acute massive pulmonary infarction is feasible, effective and safe.
出处
《介入放射学杂志》
CSCD
2006年第6期336-338,共3页
Journal of Interventional Radiology
基金
国家"十五"科技攻关项目(2004BA703B07)
首都医学发展科研基金(2003-1017)
关键词
肺栓塞
介入
碎栓器械
Pulmonary embolism
Intervention
Thrombectomy device
