摘要
目的探讨合理的影像学诊断和介入治疗对急性肺动脉栓塞患者的临床价值。方法对29例急性肺动脉栓塞患者采用 CT 肺血管成像、肺动脉造影及导管碎栓、导管溶栓,以诊断和治疗肺动脉栓塞。结果 29例患者中28例 CT 检查有阳性表现,所有患者均成功插管至肺动脉。介入治疗后临床症状明显改善,其中9例置入下腔静脉滤器,并发脑出血并死亡1例。结论CT 肺血管成像、肺动脉造影、经导管栓子除祛术和下腔静脉滤器置入术是诊断、治疗和预防急性肺动脉栓塞安全、迅速、有效的方法。
Objective To evaluate the clinical value of reasonable imaging diagnosis and interventional therapy in acute pulmonary embolism. Methods 29 cases of acute pulmonary embolism,we used CTA, DSA, transcatheter thrombus fragmentation and transcatheter local fibrinolysis,thrombolysis to diagnose and to treat pulmonary embolism. Results 28 cases present electropositive status for CTA,all cases were succeed to place catheter into pulmonary artery, and made significant improvements of clinical status after interventional therapy. 9 cases were placed inferior vena cava filter. But one case died of cerebral hemorrhage. Conclusion Pulmonary CTA , pulmonary artery angiography, transcatheter embolectomy and inferior vena cava filter placement are safe, quick and effective approaches for diagnosing , treating and preventing acute pulmonary embolism.
出处
《临床急诊杂志》
CAS
2007年第1期24-27,共4页
Journal of Clinical Emergency
关键词
肺栓塞
放射学
介入治疗
溶栓治疗
Pulmonary embolism
Radiology
Interventional therapy
Thrombolytic therapy
