急性肺栓塞的诊治进展

肺栓塞是内源性或外源性栓子堵塞肺动脉或其分支引起的肺循环障碍的临床和病理生理综合征。肺栓塞的诊断通常是根据临床表现加上1项或多项辅助检查确诊。一般性的检查方法有心电图、动脉血气分析、胸部X线片、血浆D-二聚体等,而肺动脉造影、肺.通气/灌注扫描、CTPA是确诊或除外肺栓塞的较为可靠的诊断方法。肺栓塞的治疗方法主要有抗凝治疗、溶栓治疗、介入治疗与手术治疗等,临床上根据不同情况应选择合适的治疗方法。

Progress of Diagnosis and Treatment of Acute Pulmonary Embolism

Pulmonary embolism is clinical pathophysiological syndrome related t o disturbance of pulmonary circulation,which resulted from the blockage of pulmonary artery and its branch by endogenous or exogenous embolus.Its diagnosis is mainly based on one or more auxiliary examination besides its clinical manifestation.The general examination includes ECG(electrocardiogram),artery blood gas analysis,chest x-ray film,plasma D-dipolymer and so on,while pulmonary arteriography,pulmonary ventilation /perfusion scan and CTPA is the reliable diagnostic method for definite diagnosis or exclusion of pulmonary embolism.Its therapeutic methods includes anti-coagulant therapy,thrombolysis,interventional therapy and operation and so on,which one to choose should correspond to different clinical conditions.