摘要
急性大面积肺动脉栓塞是最常见的危急重疾病并发症之一,其致残率和致死率居高不下。随着人们饮食结构的改变、生活压力增加、人口老龄化加剧,肺动脉栓塞的发病率也呈逐年成增长趋势。现阶段关于肺动脉栓塞常用治疗方式包括单一抗凝药物使用、外周静脉系统溶栓、局部导管接触溶栓等。虽然常规的救治方式其临床效果获到肯定,但依然存在许多救治风险及并发症的发生。随着减容技术的推广,使用Angiojet血栓清除装置进行肺动脉吸栓治疗得到越来越多的认可,不仅可以及时有效的解决肺通气情况及降低右心负荷压力,还明显降低肺动脉栓塞后遗症的发生率,现就急性大面积肺动脉栓塞治疗方法及研究进展进行简要阐述。
Acute massive pulmonary embolism is one of the most common complications of critical illness, and its morbidity and mortality remain high.The incidence of pulmonary embolism is increasing year by year with the change of diet, pressure of life and aging of population.At present, the common treatment methods for pulmonary embolism include single anticoagulant, peripheral venous thrombolysis and local catheter contact thrombolysis. Although the clinical effect of conventional treatment has been affirmed, there are still many risks and complications.With the promotion of volume reduction technology, the use of Angiojet thrombus clearance device for pulmonary artery thrombectomy has gained more and more recognition. Not only can timely and effectively solve the pulmonary ventilation and reduce the right heart load pressure, but also significantly reduce the incidence of pulmonary embolism sequela.The treatment methods and research progress of acute massive pulmonary embolism are briefly described.
作者
郑毅
李祺熠
冯培芳
蓝宇俭
叶奕辉
侯培勇
Zheng Yi, Li Qiyi, Feng PeiFang, Lan YuJian, Ye YiHu,i Hou Peiyong(Department of General Surgery, Liuzhou Workers Hospital, Liuzhou 545001, Guangxi, China)
出处
《血管与腔内血管外科杂志》
2018年第3期270-274,共5页
Journal of Vascular and Endovascular Surgery
基金
广西壮族自治区卫生和计划生育委员会自筹经费科研课题(Z20170907)
关键词
急性大面积肺动脉栓塞
抗凝
外周静脉系统溶栓
导管接触溶栓
血栓清除装置
acute large area pulmonary embolism
anticoagulant
peripheral venous system thrombolysis
catheter contact thrombolysis
thrombus scavenging device
