| 急性肺动脉栓塞的介入治疗 |
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| 引用本文： | 杨冬,纪东华,周红梅,张平,吴泰华,赵广东,张中和. 急性肺动脉栓塞的介入治疗[J]. 中国呼吸与危重监护杂志, 2006, 5(1): 39-41 |
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| 作者姓名： | 杨冬 纪东华 周红梅 张平 吴泰华 赵广东 张中和 |
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| 作者单位： | 1. 大连医科大学附属第一医院呼吸科,辽宁大连,116011
2. 大连医科大学附属第一医院介入科,辽宁大连,116011 |
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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。
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| 关 键 词： | 肺动脉栓塞 血栓性静脉炎 介入治疗 溶栓治疗 |
| 收稿时间： | 2005-12-01 |
| 修稿时间： | 2005-12-01 |
Interventional treatment for acute pulmonary embolism |
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| YANG Dong , Ji Donghua , ZHOU Hongmei ,et al.. Interventional treatment for acute pulmonary embolism[J]. Chinese Journal of Respiratory and Critical Care Medicine, 2006, 5(1): 39-41 |
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| Authors: | YANG Dong Ji Donghua ZHOU Hongmei et al. |
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| Affiliation: | Department of Respiratory Medicine, The First Affiliated Hospital of Dalian Medical University. Dalian , Liaoning , 116011, China |
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| Abstract: | 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 cava 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. |
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| Keywords: | Pulmonary embolism Thrombophlebitis Interventional therapy Thrombolytic therapy |
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