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经导管祛栓术治疗急性肺动脉栓塞
引用本文:王峰,张中和,纪东华,黄伟,郎志谨,赵力,马季娜,王晓陶,杜敏安,李贵海. 经导管祛栓术治疗急性肺动脉栓塞[J]. 中华放射学杂志, 2002, 36(6): 511-514
作者姓名:王峰  张中和  纪东华  黄伟  郎志谨  赵力  马季娜  王晓陶  杜敏安  李贵海
作者单位:1. 116011,大连医科大学附属第一医院放射科
2. 116011,大连医科大学附属第一医院呼吸内科
基金项目:国家“九五”科技攻关项目 (96 90 7 0 1 0 4)
摘    要:目的:探讨经导管栓子祛除术治疗急性肺动脉栓塞的临床疗效。方法:对24例急性肺动脉栓塞的病人,经肺动脉造影明确诊断,通过旋转猪尾导管碎栓、抽吸导管抽吸和局部溶栓来开通肺动脉。观察临床症状、动脉血氧分压(PaO2)、肺动脉平均压(PAPm)和肺动脉开通情况。结果:术后症状即刻缓解者23例,完全开通者20例,与术前相比PaO2明显升高(P<0.05),PAPm明显降低(P<0.05),并发脑出血1例,死亡2例,22例病人存活。结论:经导管栓子祛除术治疗急性肺动脉栓塞是安全有效的方法。

关 键 词:经导管祛栓术 急性肺动脉栓塞 肺栓塞 治疗性栓塞 导管插入术 PE
修稿时间:2001-08-27

Pulmonary embolectomy by catheter to treat acute pulmonary embolism
Abstract:Objective To evaluate the effectiveness of pulmonary embolectomy by catheter for the treatment of acute pulmonary embolism. Methods Twenty four cases were diagnosed as pulmonary embolism by pulmonary angiography, then treated with thrombus fragmentation and suction by catheters, and local fibrinolysis. The symptoms, PaO 2, PAPm , and pulmonary arteries were observed after the procedure. Results Twenty two patients survived and showed clinical improvement with resultant significant ( P <0.05) decrease in PAPm and increase in PaO 2. Mortality was in 2 patients. Conclusion Pulmonary embolectomy by catheter is a safe and reliable procedure in treating the acute pulmonary embolism.
Keywords:Pulmonary embolism  Embolization  therapeutic  Catheterization
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