| 急性大面积肺动脉栓塞的介入治疗及疗效评价 |
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| 引用本文： | 史景云,尤小芳,王向日.急性大面积肺动脉栓塞的介入治疗及疗效评价[J].介入放射学杂志,2009,18(1). |
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| 作者姓名： | 史景云 尤小芳 王向日 |
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| 作者单位： | 1. 上海同济大学附属上海市肺科医院影像科,200433
2. 湖南郴州市第一人民医院放射科 |
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| 摘 要： | 目的 评价经血管栓子祛除术治疗急性大面积肺动脉栓塞的疗效和安全性.方法 对12例经CT肺血管造影或血管造影证实为大面积肺动脉栓塞患者,经肺动脉行传统介入器材碎栓、吸栓及局部溶栓联合治疗,观察临床症状、体征,血气分析及血流动力学改变,肺动脉开通情况以及有无并发症.结果 介入治疗后血管开通良好、症状即刻缓解9例,2例术后数天内症状逐步好转.PaO2术前(54.92±6.17)mmHg,术后达(90.91±1.62)mmHg,SaO2术前(85.17±8.39)%,术后达(95.75±1.96)%,差异有统计学意义(P均<0.01),休克指数明显下降(1.26±0.18/0.67±0.14,P<0.01),Miller评分明显降低(21.75±4.35/13.83±5.69,P=0.0001),mPAP显著下降(35.59±7.68)mmHg/(30.04±7.93)mm Hg,P=0.001].1例因栓塞面积大,术后3 d死亡,术后并发脑出血1例,3 d后死亡.结论 经肺动脉行血管祛栓综合治疗急性大面积肺动脉栓塞是一种安全有效的方法 .
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| 关 键 词： | 肺栓塞 介入治疗 |
Interventional therapy and its effectiveness for acute massive pulmonary thromboembolism |
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| SHI Jing-yun,YOU Xiao-fang,WANG Xiang-ri.Interventional therapy and its effectiveness for acute massive pulmonary thromboembolism[J].Journal of Interventional Radiology,2009,18(1). |
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| Authors: | SHI Jing-yun YOU Xiao-fang WANG Xiang-ri |
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| Institution: | SHI Jing-yun,YOU Xiao-fang,WANG Xiang-ri. Department of Radiology,The Shanghai Pulmonary Hospital,Tongji University,Shanghai 200433,China |
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| Abstract: | Objective To evaluate the effectiveness and safety of interventional embolectomy in the treatment of acute massive pulmonary embolism. Methods Interventional managements, including fragmentation, aspiration and dissolving of the embolus, were performed in 12 patients with CTPA-or pulmonary angiography-proved acute massive pulmonary embolism. Clinical manifestations, blood gas tension, hemodynamic changes, the recanalization of the pulmonary artery as well as the occurrence of complications were observed. Re... |
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| Keywords: | pulmonary embolism interventional therapy |
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