| 急性肺动脉栓塞的介入治疗 |
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| 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. 急性肺动脉栓塞的介入治疗[J]. 中国微创外科杂志, 2002, 2(Z1): 91-94 |
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| 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 |
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| 作者单位： | 1. 大连医科大学附属第一医院放射科,大连,116011
2. 大连医科大学附属第一医院呼吸内科,大连,116011 |
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| 基金项目： | 国家“九五”科技攻关项目 (96-90 7-0 1-0 4) |
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| 摘 要： | 目的 探讨通过介入方法治疗急性肺动脉栓塞的临床疗效。 方法 对 38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 36例 ,完全开通 30例 ,与术前相比PaO2 明显升高 (P <0 0 5 ) ,PAPM明显降低 (P <0 0 5 ) ,并发脑出血 1例 ,死亡 2例 ,36例存活。 结论 介入放射学方法是诊断、治疗及预防急性肺动脉栓塞有效、微创的方法。
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| 关 键 词： | 肺栓塞 栓子祛除术 介入治疗 |
| 文章编号： | 1009-6604(2002)-0091-04 |
Interventional treatment of acute pulmonary embolism |
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| Wang Feng,Zhang Zhonghe,Ji Donghua,et al.. Interventional treatment of acute pulmonary embolism[J]. Chinese Journal of Minimally Invasive Surgery, 2002, 2(Z1): 91-94 |
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| Authors: | Wang Feng Zhang Zhonghe Ji Donghua et al. |
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| Affiliation: | Wang Feng,Zhang Zhonghe,Ji Donghua,et al. Department of Radiology,The First Affiliated Hospital of Dalian Medical University,Dalian 116011,China |
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| Abstract: | Objective To evaluate the effectiveness of pulmonary embolectomy by cathether for the treatment of acute pulmonary embolism. Methods 38 cases were diagnosed pulmonary embolism by pulmonary angiography, treated by thrombus fragmentation and suction by cathethers, and local fibrinolysis. The symptoms, PaO 2, PAPM and pulmonary arteries were observed after the procedure. Results 36 patients survived and showed clinical improvement with significant decrease in PaPm and increase in PaO 2( P <0 05). Mortality was in 2 patients. Conclusions Pulmonary embolectomy by cathether is a safe and reliable procedure to treat acute pulmonary embolism. |
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| Keywords: | Pulmonary embolism Embolectomy Interventional treatment |
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