摘要
对于危急状态的大面积肺栓塞的患者目前的指南推荐全身静脉溶栓，然而溶栓能否成功以及禁忌证和并发症限制了该方案的临床应用。近年来随着介入器材和技术的快速发展，不同类型的导管应运而生，使介入治疗急性肺栓塞成为可能，临床难以实施溶栓及抗凝治疗时，急诊介入治疗可成为一种替代方案，本文重点综述不同介入方案的优劣及存在的需要解决的问题。
Current guidline recommends intravenous thrombolysis for patients with critical massive pulmonary embolism. However, whether thrombolysis drugs are effective, its contraindications and complications block the clinical application of this scheme. Recently,with rapid progress of interventional materials and technology, types of catheters have been developed,interventional therapy is used for acute pulmonary embolism. Therefore, emergent catheter-based intervention may substitute for thrombolysis when fihrinolysis and anticoagulation is difficult to be carried out. This article mainly reviews advantages and disadvantages of various interventional projects,and there are issues to be resolved.
出处
《国际呼吸杂志》
2013年第14期1100-1103,共4页
International Journal of Respiration
关键词
肺栓塞
介入治疗
局部溶栓
Pulmonary embolism
Interventional therapy
Local thrombolysis
