摘要
肺血栓栓塞症(PTE)溶栓治疗最主要的并发症是出血,部分患者会出现发热、皮疹等情况。高龄、既往有基础疾病、溶栓前后进行动静脉穿刺以及溶栓剂量过大是造成出血的主要原因。对于PTE患者,需要掌握溶栓治疗的适应证和禁忌证,溶栓前仔细询问相关病史,评价溶栓的风险效益比,并在治疗前采取相应的预防措施,可以降低出血的发生率。一旦发生出血情况,应根据出血的部位和出血量的大小,进行相应的处理。
The main complication of thrombolysis for pulmonary thromboembolism ( PTE ) is bleeding. Fever and rash are relatively rare. Increasing aging, pre-existing diseases such as intracranial disease, arterial or vene-puncture and large throm- bolytic dosage are causes of bleeding. To reduce the incidence of bleeding, the indication and contraindication of thrombolysis must be controlled, the risk-effect of thrombolysis should be evaluated, and some prevention methods should be utilized. Different therapies should be used based on site and amount of bleeding if that has been developed.
出处
《中国实用内科杂志》
CAS
CSCD
北大核心
2013年第5期363-365,共3页
Chinese Journal of Practical Internal Medicine
关键词
肺栓塞
血栓栓塞
溶栓
pulmonary embolism, thromboembolism
thrombolysis