摘要
目的探讨肺栓塞的诊断及治疗。方法回顾性分析17例肺栓塞患者的诊治情况。结果14例静脉溶栓患者治愈12例,死亡5例。结论对肺栓塞患者早期诊断、即刻给予抗凝溶栓治疗是提高抢救成功率、改善预后的关键。
出处
《中国现代医生》
2009年第10期136-137,共2页
China Modern Doctor
参考文献7
-
1Benotti JR,Dalen JE.The natural history of pulmonary embolish[J].Clinies in Chest Medicine,1984.5(3):405.
-
2肺血栓栓塞症的诊断与治疗指南(草案)[J].中华结核和呼吸杂志,2001,24(5):259-264. 被引量:1838
-
3British Thoracic Society Standards of Care Committee Plumonary Embolism.British Thoracic Society guidelines for the management of susAPEcted acute pulmonary embolism[J].Thorax.2003,58(6):470-483.
-
4Anonymous.Guidelines on diagnosis and management of aeule pulmonary embolism.Task Force on Pulmonary Embolism,EuroAPEau Society of Cardiolagy[J].Eur Heart J,2000,21(16):1301.
-
5向红,杨捷,马晨辉,李银光.36例急性肺栓塞临床心电图分析[J].实用心电学杂志,2005,14(4):262-263. 被引量:10
-
6刘春萍,留永健,张运剑,陆慰萱,吴郡,田巍,季颖群,张友华,王辰.急性肺栓塞患者血浆心肌酶的变化及其对预后的评估价值[J].中华内科杂志,2005,44(9):691-692. 被引量:14
-
7包志瑶,万欢英,时国朝.内皮素与急性肺栓塞[J].国外医学(呼吸系统分册),2005,25(7):547-548. 被引量:8
二级参考文献21
-
1[1]Task Force on Pulmonay Emblism, European Society of Cardiolog. Task force report: Guidelines on diagnosis and management of acute pulmonary embolism. Eur Heart J, 2000,21 :1301~1336
-
2[2]Anderson FA Jr, Spencer FA. Risk factors for venous thromboembolism. Circulation. 2003,17 : 107(23 suppl) : 19
-
3[4]Petrov DB. Appearance of right bundle branch block in electrocardiograms of patients with pulmonary embolism as a marker for obstruction of the main pulmonary trund. J Electrocardiol 2001,34(3):185~188
-
4Kasper W, Konstantinides S, Geibel A, et al.Prognostic significance of right ventricular afterload stress detected by echocardiography in patients with clinically suspected pulmonary embolism.Heart,1997,77:346-349.
-
5Dschietzig T, Laule M, Alexiou K, et al.Coronary constriction and consequent cardiodepression in pulmonary embolism are mediated by pulmonary big endothelin and enhanced in early endothelial dysfunction.Crit Care Med,1998,26:510-517.
-
6Jerjes Sanchez C, Gutierrez-Fajardo P, Ramirez-Rivera A, et al.Acute infarct of the right ventricle secondary to a massive pulmonary thromboembolism.Arch Inst Cardiol Mex,1995,65:65-73.
-
7Meyer T, Binder L, Hruska N, et al.Cardiac troponin I elevation in acute pulmonary embolism is associated with right ventricular dysfunction.J Am Coll Cardiol,2000,36:1632-1636.
-
8Yalamanchili K, Sukhija R, Aronow WS,et al. Prevalence of increased cardiac troponin I levels in patients with and without acute pulmonary embolism and relation of increased cardiac troponin I levels with in-hospital mortality in patients with acute pulmonary embolism.Am J Cardiol,2004,93:263-264.
-
9Tanus-Santos JE,Theodorakis MJ.Is there a place for inhaled Nitric Oxide in the therapy of acut pulmonary embolism.Am J Respir Med,2002,1(3):167-176.
-
10Olin JW.Pulmonary embolism.Rev Cardivoasc Med,2003,3(Suppl 2):568-575.
共引文献1851
-
1刘煜.那屈肝素钙联合法舒地尔对肺血栓栓塞症患者肺动脉血气指标的影响[J].中国医学工程,2020,0(2):109-111.
-
2高杰,刘晓阁.慢性肺栓塞患者右心室超声心动图特征分析[J].社区医学杂志,2020(7):509-512. 被引量:1
-
3张静.急性肺栓塞溶栓前后的心电图对比研究[J].中国急救医学,2018,38(A01):52-52.
-
4严彩虹.一例老年急性肺栓塞患者的临床护理[J].临床研究,2014,22(7):141-141. 被引量:1
-
5李明磊,许西琳,刘冬,何小双,刘敏,翟润晴.石河子地区住院患者肺血栓栓塞症的规范化诊治情况分析[J].医学信息,2017,30(4):42-45. 被引量:1
-
6彭庆福.下肢深静脉血栓合并肺栓塞26例临床分析[J].医学信息(医学与计算机应用),2014,0(18):572-572.
-
7杨桂美,熊新发,夏志伟,施雄飞.急性肺栓塞的临床特点、诊治分析及相关体会[J].医学信息(医学与计算机应用),2014,0(18):452-452. 被引量:2
-
8王威,梁金清,邹小英,巫艳彬,陈泉芳.肺血栓栓塞症的急诊首诊思路[J].医学信息(医学与计算机应用),2014,0(4):178-178.
-
9李军,马文,王磊,马俊文,李亦工,马启斌.胃肠道肿瘤术后肺栓塞的临床分析[J].世界临床医学,2017,11(18):54-54.
-
10邓凌波.肺栓塞4例误诊分析[J].广西医学,2004,26(3):418-419. 被引量:1
同被引文献3
-
1吴波,陆国础,庄少侠,郁震,万小蔹.急性肺栓塞早期诊断临床分析[J].中国现代医学杂志,2006,16(6):954-956. 被引量:10
-
2潘晓玉,卞美璐.妇科肿瘤术后深静脉血栓和肺栓塞的防治[J].中国实用妇科与产科杂志,2009,25(7):491-493. 被引量:25
-
3宋浩明,王乐民,程克斌.106例肺栓塞的临床分析[J].中国现代医学杂志,2009,19(18):2806-2809. 被引量:6
-
1董士民.不稳定性心绞痛的血栓机制与抗凝溶栓治疗[J].临床荟萃,1997,12(13):577-578. 被引量:25
-
2蒋岚杉.下肢深静脉血栓形成的早期诊治(附59例)[J].中国医师杂志,2003,5(12):1648-1649. 被引量:5
-
3何冬花.肺栓塞植入滤器溶栓后大出血的成功救治[J].卫生职业教育,2015,33(5):158-159.
-
4黄慧,傅应云,李亚珍.肺栓塞患者116例临床表现分析[J].现代诊断与治疗,2013,24(8):1710-1711.